Prosthetic Valve Endocarditis.
10.4070/kcj.1984.14.1.29
- Author:
Wang Seong RYU
;
Cheoul Ho KIM
;
Jeong Hyun KIM
;
Myoung Mook LEE
;
Young Bae PARK
;
Yun Sik CHOI
;
Jung Don SEO
;
Young Woo LEE
;
Kyung Pil SEO
- Publication Type:Original Article
- MeSH:
Diagnosis;
Endocarditis*;
Fever;
Heart Murmurs;
Heart Valves;
Humans;
Incidence;
Mortality;
Seoul
- From:Korean Circulation Journal
1984;14(1):29-36
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Prosthetic valve endocarditis(PVE) is not infrequent and one of the serious complications of cardiac valve replacement despite advances in antimicrobial therapy, diagnostic techniquens and surgical procedures. Although the incidence of PVE may be declining, the absolute number of cases of this infection is increasing. In patients with a prosthetic valve, fever, a regurgitant heart murmur, peripheral manifestations of infective endocarditis and postitive blood cultures, the diagnosis of PVE is evident. We have reviewed our experience with 13 patients with PVE from October 1976 through August 1983. During this period valve replacements were performed in 686 patients, with an infection rate of 1.9%. PVE currently accounts for approximately 14% of the total number of cases of infective endocarditis seen at Seoul national University Hospital. PVE occurred more often after multiple valve replacement than after replacement of single valve alone. Blood cultures were positive in 69% cases of PVE. Systemic emboli could be seen in 54% of patients with PVE and overall mortality was about 23%.
