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  • Title: [Prosthetic valve endocarditis: about 14 cases].
    Author: Ben Omrane S, Kaouel K, Ben Ali W, Ben Mrad M, Ziadi J, Anis Rjeb M, Denguir R, Kalfat T, Khayati A.
    Journal: Tunis Med; 2008 Nov; 86(11):978-82. PubMed ID: 19213488.
    Abstract:
    BACKGROUND: Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery. AIM: The aim of this study is to determine the diagnostic and therapeutic management for PVE. METHODS: It's a retrospective study about 14 cases of PVE operated in the department of cardiovascular surgery of la Rabta hospital between January 1996 and December 2006. RESULTS: In two cases, surgery was performed emergent, in the remnant cases surgery was elective. The coagulase-negative staphylococcus (CNS) is the predominant cause of these PVE.Surgery consisted on seven mitral prosthesis replacements and seven aortic prosthesis replacements.Hospital mortality was 50%. CONCLUSION: In conclusion attention should be made to prevent endocarditis when possible. In case of PVE, an early diagnosis a leads to earlier application of appropriate therapies and improved outcome.
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