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Jeffrey M. Lau
Arthur C. Beall, Jr.
Kenneth L. Mattox
James B. Young
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Ann Thorac Surg 1981;32:351-356
© 1981 The Society of Thoracic Surgeons

Articles

Operative Techniques in Infective Endocarditis

Jeffrey M. Lau, M.D., Gene A. Guinn, M.D.*, Arthur C. Beall, Jr., M.D., Kenneth L. Mattox, M.D., James B. Young, M.D., Michael E. DeBakey, M.D.

From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, and the Veterans Administration Hospital, Houston, TX

Accepted for publication January 9, 1981.

* Address reprint requests to Dr. Guinn, Baylor College of Medicine, 1200 Moursund Ave, Houston, TX 77030

Twenty-six of 163 patients with infective endocarditis treated between 1969 and 1979 required operation. The consequences of infection in these 26 patients included leaflet destruction, annular "ring" abscess, fistula formation with ventricular and atrial septal perforation, and myocardial abscess with heart block. Surgical principles used to repair these abnormalities successfully were excision of necrotic tissue, valve replacement, repair of annular defects, and closure of perforations. Temporary and permanent cardiac pacing were used also. The operative mortality was 13%.




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