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Prosthetic Valve Endocarditis

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Cardiac Surgery

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Abstract

Prosthetic valve infective endocarditis (PVE) remains a devastating complication of valve replacement resulting in valvular and paravalvular destruction leading to heart failure, embolism, sepsis and ultimately death. Surgical management is frequently required for PVE due to the resistant nature of infection of prosthetic materials and the fact that infection more commonly extends beyond the affected valve proper, resulting in abscess and fistula formation. The mainstay of PVE surgery is complete debridement of infective materials and repair or replacement of all damaged structures including any abscess or fistulous connections and re-replacement of valves. This chapter provides an overview of prosthetic valve endocarditis along with a review of our surgical approach to aortic, mitral and tricuspid prosthetic valve infective endocarditis with the use of demonstrative cases.

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Author information

Authors and Affiliations

  1. Division of Cardiac Surgery, St Michael’s Hospital, University of Toronto, Toronto, ON, Canada

    Bobby Yanagawa & David A. Latter

  2. Division of Cardiac Surgery, Toronto General Hospital, University of Toronto, Toronto, ON, Canada

    Maral Ouzounian

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  1. Bobby Yanagawa
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  2. Maral Ouzounian
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  3. David A. Latter
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Correspondence to Bobby Yanagawa .

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Editors and Affiliations

  1. Harefield Hospital, Royal Brompton & Harefield NHS Trust, London, UK

    Shahzad G. Raja

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Yanagawa, B., Ouzounian, M., Latter, D.A. (2020). Prosthetic Valve Endocarditis. In: Raja, S. (eds) Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24174-2_44

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  • DOI: https://doi.org/10.1007/978-3-030-24174-2_44

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24173-5

  • Online ISBN: 978-3-030-24174-2

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