Borst H G, Hetzer R, Deyerling W
Thorac Cardiovasc Surg. 1982 Dec;30(6):345-9. doi: 10.1055/s-2007-1022421.
The results of 100 patients with primary active infective endocarditis treated surgically are presented. Hospital and late mortalities as well as postoperative complications in patients operated electively and not showing paravalvular infection approach those of routine procedures while frank circulatory failure and uncontrolled sepsis were associated with high death and complication rates. Paravalvular extension of the infection was associated with frequent postoperative leakage, reoperations and mortality. The present operative choices in eradicating paravalvular disease are described and the great importance of early operation is stressed.
本文介绍了100例接受手术治疗的原发性活动性感染性心内膜炎患者的结果。择期手术且无瓣周感染的患者的医院死亡率和晚期死亡率以及术后并发症与常规手术相近，而明显的循环衰竭和无法控制的败血症则与高死亡率和并发症发生率相关。感染的瓣周扩展与术后频繁的渗漏、再次手术和死亡率相关。本文描述了目前根除瓣周疾病的手术选择，并强调了早期手术的重要性。
