Abstract
From 1988 to 2005, seven patients were operated at our hospital because of infectious endocarditis (IE) with congenital heart disease (CHD). Underlying CHD included ventricular septal defect (VSD) in 4 (2 previous operations with residual region), atrial septal defect (ASD) in 2 and bicuspid aortic stenosis (AS) in 1. No cases had preventive antibiotic prophylaxis for dental procedures. We could confirm bacteria origin from blood culture in all cases, but two patients had operations without gaining control of the infection. VSD or ASD closure and valve surgery were performed in four patients. One patient had a VSD closure, two patients had valve surgery. There were no operative or hospital deaths and there were no recurrences of IE during the study period. We successfully treated IE with CHD by enough debridement of the infective focus of IE, and valve surgery. It is important for patients with CHD to have preventive antibiotic prophylaxis for dental procedures.
References
Nakatani S, Mitsutake K, Hozumi T, Yoshikawa J, Akiyama M, Yoshida K, et al. Current characteristics of infective endocarditis in Japan: An analysis of 848 cases in 2000 and 2001. Circ J 2003; 67: 901–5.
Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P, et al. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA 1997; 277: 1794–801.
Suzuki Y, Sakakibara Y, Atsumi N, Jikuya T, Tsutsui T, Okamura K, et al. Surgical repair of atrial septal defect in adult patients (Eng abstr). Jpn J Cardiovasc Surg 1992; 21: 452–7.
Citak M, Ress A, Mavroudis C. Surgical management of infective endocarditis in children. Ann Thorac Surg 1992; 54: 755–60.
Tanaka S, Hachida M, Kitamura M, Ohtsuka G, Simamura Y, Nishida H, et al. Surgical treatment of infective endocarditis in patients with congenital heart disease (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1994; 42: 1032–7.
Hattori T, Hirata K, Shimizu S. A case of tricuspid valve endocarditis in the drug addict (Eng abstr). Nippon Kyobu Geka Gakkai Zsshi 1995; 43: 857–60.
Lange R, De Simone R, Bauernschmitt R, Tanzeem A, Schmidt C, Hagl S. Tricuspid valve reconstruction, a treatment option in acute endocarditis. Eur J Cardiothorac Surg 1996; 10: 320–6.
Iida H, Okamura Y, Mochizuki Y, Mori H, Matsushita Y, Tabuchi K, et al. A case report of a successful surgical treatment for infective endocarditis involving four valves in an elderly patient with ventricular septal defects (Eng abstr). Kyobu Geka 2000; 53: 870–3.
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Suzuki, Y., Daitoku, K., Minakawa, M. et al. Infective endocarditis with congenital heart disease. Jpn J Thorac Caridovasc Surg 54, 297–300 (2006). https://doi.org/10.1007/PL00022257
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DOI: https://doi.org/10.1007/PL00022257