Prosthetic valvular endocarditis: A 12 year review

L. Slaughter, J. E. Morris, A. Starr

Research output: Contribution to journalArticle

119 Scopus citations

Abstract

A retrospective examination was made of a total of 48 patients with infected prosthetic cardiac valves implanted in 1,236 patients. Survival rate of the valvular infections was 40%. The purpose of the study was to determine the factors which aided or decreased patient survival and to develop a program of treatment with antimicrobial agents. Numerous antimicrobics and a variety of dosage schedules were used. Of 19 surviving patients, medical treatment alone was effective in 14, despite the continued presence of a valvular prosthesis. Reoperation was successful in 5 of 9 patients. Lifelong chemoprophylactic or suppressive therapy was shown to be unnecessary to prevent relapse in 12 survivors. Prompt surgical replacement is indicated if antimicrobial therapy fails to eradicate infection of a prosthetic valve. A more systematic approach to antimicrobial therapy should improve survival of medically treated infections. Recommendations are made for prevention and treatment of prosthetic valvular endocarditis.

Original languageEnglish (US)
Pages (from-to)1319-1326
Number of pages8
JournalCirculation
Volume47
Issue number6
DOIs
StatePublished - Jan 1 1973

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    Slaughter, L., Morris, J. E., & Starr, A. (1973). Prosthetic valvular endocarditis: A 12 year review. Circulation, 47(6), 1319-1326. https://doi.org/10.1161/01.CIR.47.6.1319