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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

SURGICAL TREATMENT FOR BACTERIAL ENDOCARDITIS, EARLY AND LONG TERM RESULTS
N. Radovanović, Lj. Petrović, S. Ničin, B. Mihajlović, P. Kovačević, M. Fabri, M. Preradović, V. Ščekić, A. Milosavljević and M. Radovanović
University Clinic of Cardiovascular Surgery, Novi Sad, Yugoslavia

Objective: The aim of this study was to show the results of 196 patients who underwent surgical procedures for infections valvular endocarditis. Material and methods: There were 149 male (76%) and 47 female (24%) patients with mean age of 44,6 years (15 to 70). Out of total number, 184 patients (94%) were operated for native valve endocarditis (NVE) and 12 for prosthetic valve endocarditis (PVE), In NVE group, valve lesions were: aortic (A) in 99 pts, mitral (M) in 45, A+M in 36, tricuspid in 2, pulmonary artery in 2 patients. PVE was found in A and M position in 6 and 6 pts respectively. Seventy-one patients were considered to have active endocarditis (positive blood and tissue cultures and/o annular abscess. The remaining 125 pts had healed endocarditis. Local treatment of native annulus, abscess and artifical annulus with iodine tincture was used routinely in all patients. Results: Postoperative mortality, 90 days (10 pts). Closing date of the follow up was January 31, 1997, including 113 operated patients

Conclusion: This clinical study shows good results and confirms that surgical therapy in addition to our procedure of local iodine tincture treatment is the method of choice in the therapy of bacterial endocarditis.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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