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- W1977562134 abstract "Aims The purposes of this study were to determine the clinical features and to identify prognostic factors of abscesses associated with infective endocarditis. Methods and Results During a 5-year period from January 1989, 233 patients with perivalvular abscesses associated with infective endocarditis were enrolled in a retrospective multicentre study. Of the patients, 213 received medical–surgical therapy and 20 medical therapy alone. No causative microorganism could be identified in 31% of cases. Sensitivity for the detection of abscesses was 36 and 80%, respectively using transthoracic and transoesophageal echocardiography. Surgical treatment consisted of primary suture of the abscess (38%), insertion of a felt aortic or mitral ring using Teflon or pericardium (42%), or debridment of the abscess cavity (20%). The 1 month operative mortality was 16%. Actuarial rates for overall survival at 3 and 27 months in operated patients were 75±10% and 59±11%, respectively. Increasing patient age, staphylococcal infection, and fistulization of the abscess were found to be independent risk factors in both 1 month and overall operative mortality. Renal failure was a risk factor predictive of operative mortality at 1 month, whereas uncontrolled infection and circumferential abscess were regarded as risk factors predictive of overall operative mortality. Conclusion The data determined prognostic factors of abscesses associated with infective endocarditis." @default.
- W1977562134 created "2016-06-24" @default.
- W1977562134 creator A5030735011 @default.
- W1977562134 date "1999-02-01" @default.
- W1977562134 modified "2023-10-18" @default.
- W1977562134 title "Perivalvular abscesses associated with endocarditis Clinical features and prognostic factors of overall survival in a series of 233 cases" @default.
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- W1977562134 doi "https://doi.org/10.1053/euhj.1998.1240" @default.
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