Vejlsted H, Baandrup U, Szczepanski K, Eyjolfsson K, Henningsen P, Albrechtsen O
Thorac Cardiovasc Surg. 1982 Dec;30(6):358-61. doi: 10.1055/s-2007-1022424.
Valve replacement was performed during a 7-year period in 27 patients with acute or subacute infective endocarditis. Twenty-three patients had single valve affection--16 aortic and 7 mitral--and 4 patients had affection of both the aortic and mitral valves. Eight of the patients with aortic valve lesion had congenital aortic valve stenosis and 2 of the mitral patients had mitral prolapse. Two patients were operated upon only on the echocardiographic finding of valvular vegetations. The rest of the patients were operated because of cardiac insufficiency, intractable infection or peripheral embolization. Five patients died and 22 patients (82%) were discharged. One of these patients died in the follow-up period. The remaining 21 patients all belong to class I or II (NYHA) postoperatively. There were no cases of reinfection. Emphasis is placed on the use of echocardiography in detecting valvular vegetations, and the need to take the proper surgical action as a result of this finding, even in asymptomatic patients.
在7年期间，对27例急性或亚急性感染性心内膜炎患者进行了瓣膜置换术。23例患者为单瓣膜受累——16例主动脉瓣和7例二尖瓣——4例患者主动脉瓣和二尖瓣均受累。16例主动脉瓣病变患者中有8例有先天性主动脉瓣狭窄，7例二尖瓣病变患者中有2例有二尖瓣脱垂。2例患者仅根据超声心动图发现瓣膜赘生物而接受手术。其余患者因心功能不全、难以控制的感染或外周栓塞而接受手术。5例患者死亡，22例患者（82%）出院。其中1例患者在随访期间死亡。其余21例患者术后均属于纽约心脏协会（NYHA）I级或II级。无再感染病例。强调了超声心动图在检测瓣膜赘生物中的应用，以及即使在无症状患者中，因这一发现而采取适当手术措施的必要性。
