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Surgery for prosthetic valve endocarditis

Authors
Adolf W Karchmer, MD
Rakesh M Suri, MD, DPhil
Section Editors
Scott E Kasner, MD
Catherine M Otto, MD
Deputy Editors
Susan B Yeon, MD, JD, FACC
Elinor L Baron, MD, DTMH

INTRODUCTION

Infection of a prosthetic heart valve can be difficult to diagnose and manage. Optimal treatment of prosthetic valve endocarditis (PVE) requires:

Identification of the causative microorganism.

Selection of a bactericidal antimicrobial regimen of proven efficacy.

A clear understanding of the intracardiac pathology and attendant complications of PVE (see "Epidemiology, clinical manifestations, and diagnosis of prosthetic valve endocarditis").

Surgical intervention (in selected cases), especially when infection has extended beyond the valve to contiguous cardiac tissue or resulted in major valvular dysfunction.

               

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Literature review current through: Nov 2016. | This topic last updated: Tue Feb 16 00:00:00 GMT 2016.
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