Infective Endocarditis : Analysis of 116 surgically and 26 medically treated patients : 54th Annual Scientific Session of the Japanese Circulation Society
スポンサーリンク
概要
- 論文の詳細を見る
We have reviewed 116 cases of becterial endocarditis treated surgically and 26 cases treated medically since 1973. There were 123 patients with native valve endocarditis and 19 patients with prosthetic valve endocarditis. Overall, the left-sided valves were infected most frequently. There were 10 cases with right-sided valves involved. Multiple valves were infected in 6 patients. There were 6 perioperative deaths in the surgical group. The most common cause of death was multi-organ failure associated with uncontrollable sepsis. The overall operative mortality for active endocarditis was 7.7% (4/55), and for healed endocarditis. 3.3% (2/61). For active native valve endocarditis. the mortality was 4.2% (2/48), for healed native valve endocarditis. 3.6% (2/55), for active prosthetic valve endocarditis, 28.6% (2/7). and for healed prosthetic valve endocarditis, 0%. There was no difference in the operative mortality between active native valve endocarditis and healed native valve endocarditis. The mortality of active prosthetic valve endocarditis was significantly higher than that of active native valve endocarditis (p<0.01). Of the 26 patients treated medically. 7 died during the initial hospitalization. The major factor related to mortality in the medically treated patients was persistent sepsis (four patients), and congestive heart failure (three patients). The overall mortality of the medical group for active valve endocarditis was 15% (3/20), and for active prosthetic valve endocarditis. 67% (4/6). We conclude that patients with infective endocarditis with significant valve lesions who are unresponsive. to medical therapy should be considered for urgent surgery.
- 社団法人日本循環器学会の論文
- 1991-08-20
著者
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Akasaka Takashi
Department of Cardiology, Wakayama Medical College
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HOZUMI Takeshi
Departments of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine
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Yoshikawa Junichi
Department of Internal Medicine and Cardiology, Osaka City University School of Medicine
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Asaka Takahisa
Cardiovascular Center Yokosuka Kyosai Hospital
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Yamaguchi Junichi
Division Of Cardiology Saitama Prefecture Cardiovascular And Respiratory Center
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Yoshida Kiyoshi
Department Of Internal Medicine Osaka City General Hospital
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MAEDA Kenji
Departments of Biochemistry and Neurosurgery, Saga Medical School
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Hozumi Takeshi
Departments Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Hozumi Takeshi
Department Of Internal Medicine And Cardiology
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Hozumi Takeshi
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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OKUMACHI FUKUMARU
Departent of Cardiology Kobe General Hospital
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SHIRATORI KENICHI
Departent of Cardiology Kobe General Hospital
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KOIZUMI KATSUMI
Departent of Cardiology Kobe General Hospital
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Kato Hiroshi
Department of Physiology, Yamagata University School of Medicine
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Yoshikawa Junichi
Department Of Cardiology Osaka City University Medical School
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Tanaka Hiromitsu
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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OKADA YUKIKATSU
Kobe General Hospital
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SHOMUURA TOYO
Kobe General Hospital
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Oka Yuko
Department Of Cardiovascular And Respiratory Medicine Shiga University Of Medical Science
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Oka Yuko
Heart Rhytm Center Department Of Cardiovascular Medicine Shiga University Of Medical Science
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Shomura Toyo
Kobe General Hospital
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Kato Hiroshi
Department Of Cardiology And Cardiothoracic Surgery
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Okada Yukikatsu
Department Of Thoracic And Cardiovascular Surgery Kobe General Hospital
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Kato Hiroshi
Department Of Applied Biological Chemistry Graduate School Of Agricultural And Life Sciences The Uni
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Akasaka Takashi
Department Of Cardiology Wakayama Medical University
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Yoshida Kiyoshi
Department Of Cardiology Kawasaki Medical School
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Shomura Toyo
Department Of Thoracic Surgery Kobe Central City Hospital
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Okada Yukikatsu
Department Of Respiratory And Cardiovascular Medicine Shiga University Of Medical Science
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Okada Yukikatsu
Department Of Cardiovascular And Respiratory Medicine Shiga University Of Medical Science
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Yoshida Kiyoshi
Department Of Applied Chemistry And Biotechnology Faculty Of Engineering Fukui University
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Akasaka Takashi
Department Of Cardiology Kawasaki Medical School
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Maeda Kenji
Departent Of Cardiology Kobe General Hospital
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HOZUMI Takeshi
Department of Cardiology, Osaka City University
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