Surgical Management of Infective Endocarditis: A Case Series
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 10
Abstract
Introduction: Infective endocarditis (IE) is defined as an infection of the endocardial surface of the heart, which may include one or more native or prosthetic heart valves, the mural endocardium leading to tissue destruction and formation of vegetations. It is associated with a high rate of mortality and morbidity. Early surgical intervention in selected cases is the key for better outcome. In this series we present three different scenarios leading to infective endocarditis and their surgical management. Cases report: First case is a 28 year lady with tricuspid valve endocarditis following septic abortion with congestive failure. Second is an eighteen year girl with congenital acyanotic heart disease (VSD) with tricuspid valve endocarditis and left empyema thoracis. Third one is a case of critical mitral valve stenosis with fungal infective endocarditis. All of them were managed surgically successfully. Conclusion: Early diagnosis and timely referral to higher centre for appropriate management plays an important role in the outcome. Abortions by quacks should be condemned. Congenital heart defects and rheumatic valve disease patients should be operated early. Appropriate management with good ICU care is needed for better outcome.
Authors and Affiliations
Siddharth Lakhotia, Narendra Nath Das, Sharad Kumar Mathu, Sanjeev Kumar
Keywords
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