Ben Omrane Skander, Kaouel Karim, Ben Ali Walid, Ben Mrad Malek, Ziadi Jalel, Anis Rjeb Mohamed, Denguir Raouf, Kalfat Taoufik, Khayati Adel
Service de chirurgie cardiovasculaire hopital la rabta, Tunis, Tunisie.
Tunis Med. 2008 Nov;86(11):978-82.
Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery.
The aim of this study is to determine the diagnostic and therapeutic management for PVE.
It's a retrospective study about 14 cases of PVE operated in the department of cardiovascular surgery of la Rabta hospital between January 1996 and December 2006.
In two cases, surgery was performed emergent, in the remnant cases surgery was elective. The coagulase-negative staphylococcus (CNS) is the predominant cause of these PVE.Surgery consisted on seven mitral prosthesis replacements and seven aortic prosthesis replacements.Hospital mortality was 50%.
In conclusion attention should be made to prevent endocarditis when possible. In case of PVE, an early diagnosis a leads to earlier application of appropriate therapies and improved outcome.
人工瓣膜心内膜炎（PVE）是瓣膜手术的严重并发症。
本研究旨在确定PVE的诊断和治疗方法。
这是一项回顾性研究，研究对象为1996年1月至2006年12月在拉巴特医院心血管外科接受手术的14例PVE患者。
2例患者进行了急诊手术，其余患者为择期手术。凝固酶阴性葡萄球菌（CNS）是这些PVE的主要病因。手术包括7例二尖瓣人工瓣膜置换和7例主动脉人工瓣膜置换。医院死亡率为50%。
总之，应尽可能注意预防心内膜炎。对于PVE，早期诊断可导致更早应用适当的治疗方法并改善预后。
