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Ann Thorac Surg 2001;71:104
© 2001 The Society of Thoracic Surgeons

Invited commentary: original article: cardiovascular

Invited commentary

Richard J. Novick, MDa

a London Health Sciences Centre, University Campus, PO Box 5339, London, ON N6A 5A5, Canada

e-mail: rjnovick@julian.uwo.ca

This article from Odense University Hospital reports a series of 50 patients with aortic or mitral valve endocarditis who underwent surgical debridement followed by insertion of nonallograft (mainly mechanical) prosthetic valves over a 5-year interval. Although 42% of patients were in New York Heart Association functional class IV status preoperatively, the patients in this series had a relatively low prevalence of predictors of adverse outcome compared with other series in the literature on the treatment of endocarditis. Only 4% of the authors’ patients had prosthetic, as opposed to native, valve endocarditis; only 12% required preoperative mechanical ventilation and 4% dialysis; only 34% had staphylococcus cultured preoperatively or intraoperatively and no patients had fungal infection. Furthermore, despite the presence of annular abscesses in 48% of patients, there were very few instances . . . [Full Text of this Article]


Related Article

Acute endocarditis treated with radical debridement and implantation of mechanical or stented bioprosthetic devices
Jan Aagaard and Per V. Andersen
Ann. Thorac. Surg. 2001 71: 100-103. [Abstract] [Full Text] [PDF]





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