Surgical management of venous drug-induced infective endocarditis
10.3760/cma.j.issn.1673-4203.2009.04.010
- VernacularTitle:静脉注射吸毒者感染性心内膜炎的外科治疗
- Author:
Wei DU
;
Jun XIN
;
Houqiang WANG
;
Wei ZHOU
;
Weiyang LI
- Publication Type:Journal Article
- Keywords:
infective endocarditis;
venous druguse;
valve replacement;
valve repair
- From:
International Journal of Surgery
2009;36(4):242-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of surgical treatment of venous drug-induced infective endocarditis(IE). Methods The 17 cases of drug-induced IE were found to have valvular vegetations,16 patients had involvement of tricuspid valve, 1 mitral valve associated with ventrieular septal defect. Preoperative blood culture was positive in 8 patients. The operations included tricuspid valve repair (6 cases),tricuspid valve replacement(8 cases), mitral valve replacement and VSD closure(1 cases). Results All patients were alive and discharges. After follow-up of 6 months to 6 years, 1 case had severd tricuspid alve regurgitation, 1 had haemoptysis because of incorrect anticoagulation. Conclusions This study indicated surgical intervention is effective treatment of venous drug-induced infective endocarditis.