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Author (up) Tanaka, S.; Hachida, M.; Kitamura, M.; Ohtsuka, G.; Shimamura, Y.; Nishida, H.; Endo, M.; Hashimoto, A.; Koyanagi, H. url  openurl
  Title [Surgical treatment of infective endocarditis in patients with congenital heart disease] Type Journal Article
  Year 1994 Publication [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Abbreviated Journal Nihon Kyobu Geka Gakkai Zasshi  
  Volume 42 Issue 7 Pages 1032-1037  
  Keywords Adult; Ductus Arteriosus, Patent/complications; Endocarditis, Bacterial/complications/*surgery; Female; Heart Defects, Congenital/*complications; Heart Septal Defects, Ventricular/complications; Humans; Male; Middle Aged; Tetralogy of Fallot/complications  
  Abstract From 1981 to March 1993, 21 patients underwent surgical treatment for infective endocarditis (IE) associated with congenital heart disease (CHD). We evaluated the surgical results with regard to various factors, including microorganisms, pre- and postoperative complications, the correlation between CHD and the infective focus in the valve, the operative methods and surgical results. Underlying CHD included ventricular septal defect (VSD) in 15 (71.5%), persistent ductus arteriosus (PDA) in 2 (9.5%), tetralogy of Fallot (TF) in 2 (9.5%) and incomplete endocardial cushion defect (IECD) in 2 patients (9.5%). Microorganisms were detected in 71.4% of the patients, including streptococcus in 11 patients (52.4%), staphylococcus in 2 (9.5%) and gram-negative bacillin in 2 (9.5%). Embolism or infarction was noted preoperatively in 5 patients (23.8%) and was located in the kidney in 4 patients, the leg in 2, and in the liver and lung in 1 patient each. Among 15 patients with VSD, the lesion of IE was seen on the left side of the heart in 11 patients, on the right side in 3 and on both sides in 1. The PDA and IECD were seen on the left side in 2 patients each, but the IE focus of the 2 patients with TF was on the left side in one and on both sides in the other patient. Aortic valve replacement was performed in 17 patients, mitral valve replacement in 3, tricuspid valve plasty in 2, tricuspid annuloplasty in 1 and pulmonary valve resection in 2 patients. The operative mortality was 4.8% and there were no reoperations or late deaths.(ABSTRACT TRUNCATED AT 250 WORDS)  
  Address Department of Cardiovascular Surgery, Tokyo Women's Medical College, Japan  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Japanese Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0369-4739 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:8089568 Approved no  
  Call Number refbase @ user @ Serial 21457  
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