Chirurgische Therapie der infektiösen Endokarditis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-01-28

AUTHORS

H. Siniawski, M. Musci, C. Knosalla, R. Hetzer

ABSTRACT

Despite the continuous improvement of medicinal and surgical therapy infectious endocarditis (IE) is still a life-threatening disease with a high mortality and morbidity. The success of surgical therapy greatly depends on the optimal timing; therefore, early interdisciplinary cooperation is essential. Indications for surgery are existing heart failure, persistent infection, as well as an elevated risk of embolism. In patients presenting with heart failure early diagnosis of decompensation is crucial, whereas in patients with vegetations the predicted risk of embolism determines the optimal timing of surgery. Further parameters influencing the indications for surgery are the presence of extracardiac septic emboli and other comorbidities. In doubtful cases, surgical therapy is recommended before complications occur. If valve replacement is required, homograft is considered the gold standard; however, biological or mechanical valve prostheses are also suitable. More... »

PAGES

25-35

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00398-014-1139-y

DOI

http://dx.doi.org/10.1007/s00398-014-1139-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023836989


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