Surgical Treatment Of Infective Endocarditis

From November 2002 to March 2007, 14 patients suffered from infective endocarditis were in the department of Cardiothoracic Surgery, Second Affiliated hospital zhejiang university college of medicine .Their mean age was 40.64 ± 10.28 years old (range from 27 to 63 years old). All of these patients accepted the examinations of electrocardiogram, chest X-ray and echocardiography before operations. Blood culture was positive in 8 patients. The most common infectious organism were Staphylococcus epidermidis and G+ Cocci. All of the operations were underwent in moderately low temperature by cardiopulmonary bypass. 12 patients were accepted valve replacement and 2 patient was accepted the treatment of congeaital heart disease. In all cases, the infected tissues were excised, valvular dysfuntions were corrected and the congenital heart defects were treated. The main complications were low cardiac output, cardiac arrhythmia and bleeding. All the patients who accepted by operations were healing. It suggested that in our hospital, the incidence rate of infective endocarditis is increasing, and the age of patients is also increasing. Due to the wider use of antibiotics, and the low positive ratio of blood culture, endocardiography is more important in the diagnosis of infective endocarditis than ever. Early enough, the spectrum, on the basis of effective antibiotic therapy, it can increase the cure rate and decrease the mortality rate of infective endocarditis by promptly operation treatment . Patients with systemic conditions, the improvement in cardiac function, liver and kidney function, rehabilitation after surgery to have a great influence, we should have complete control of the patient before, the creation of an effective treatment plan.