Surgery for prosthetic valve endocarditis
- Adolf W Karchmer, MD
Adolf W Karchmer, MD
- Professor of Medicine
- Harvard Medical School
- Rakesh M Suri, MD, DPhil
Rakesh M Suri, MD, DPhil
- Professor of Surgery
- Cleveland Clinic
- Section Editors
- Scott E Kasner, MD
Scott E Kasner, MD
- Section Editor — Stroke
- Professor of Neurology
- University of Pennsylvania School of Medicine
- Catherine M Otto, MD
Catherine M Otto, MD
- Editor-in-Chief — Cardiovascular Medicine
- Section Editor — Cardiac Evaluation; Valvular Disease
- Professor of Medicine
- University of Washington
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.To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- GENERAL CONCEPTS
- INDICATIONS FOR SURGERY
- Heart failure
- Paravalvular invasion
- Microorganisms usually requiring surgery
- Relapse after optimal medical therapy
- ANTIBIOTIC THERAPY FOLLOWING SURGERY
- COMPLICATIONS AND OUTCOMES
- TRANSCATHETER HEART VALVES
- SOCIETY GUIDELINE LINKS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS