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- W2041142011 abstract "Twenty-seven cases of isolated pulmonic valve endocarditis seen between 1986–1998, including five from our own institution, were reviewed. These cases were compared with a previous study from 1960–1985 in which 28 cases were reported. The current study revealed a male-to-female ratio of 2:1 as compared with 3:1 ratio in the older study. The most common organism causing pulmonary valve infective endocarditis was Staphylococcus aureus in our review, compared with enterococcus and viridans streptococci in the previous review. None of the patients in the recent review had viridans streptococci from the blood culture, compared with 23% of the cases in the older review. Insertion of a pulmonary artery floatation catheter was associated with infective endocarditis in 22% of the patients in our review. The device was unavailable in previous years. In 10 of the 12 patients in which both transthoracic and transesophageal echocardiography were performed, transesophageal echocardiography was positive in all cases and transthoracic echocardiography only in six. Pulmonic valve surgery excision or debridement, with or without valve replacement surgery, was required in up to 40% of patients. Surgical intervention may be necessary for virulent organisms, uncontrolled congestive heart failure, continued sepsis, or recurrent pulmonary embolism. Surgery was necessary for at least 30% of patients, and the mortality rate was 15% to 20%. Pulmonic valve endocarditis may carry a worse prognosis than tricuspid valve endocarditis." @default.
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- W2041142011 date "2001-05-01" @default.
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- W2041142011 title "Isolated Pulmonic Valve Endocarditis" @default.
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- W2041142011 doi "https://doi.org/10.1097/00019048-200105000-00004" @default.
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