Surgical Treatment Of 16 Cases Of Infective Endocarditis

objective To summarize the diagnosis, the optimal timing and therapeutic effect of 16 Infective Endocarditis (IE) cases.Methods Clinical data of 16 IE cases, surgically treated from April 2000 to November 2004 were retrospectively analyzed. All cases were complicated with primary cardiac diseases, 9 of whom suffered from rheumatic heart disease and 7 of whom suffered from congenital heart disease. Before operation, antibiotic was given to all patients .Blood culture was taken in all cases, 5 of whom were positive,mainly caused by staphylococcus (3 cases).During operation all infected focals were cleared.valve replacement was carried out in 9 cases, Repairment of auricular septal defect 3 cases ,repairment of ventricular septal defect 3 cases and ligation of PDA 1 case.Results There were no postoperative and overall hospital death. Followed up 3-6 months, there were no recurrent of IE.Conclusion Combined internal medicine and surgical treatment improves the therapeutic effect of IE, which can produce better therapeutic effect when intractable heart failure and difficulty in controlling infection occur in the patients complicated with primary cardiac diseases.