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Infektiöse Endokarditis nach kardiochirurgischen Eingriffen

  • K. Gahl
  • R. Hetzer
  • W. Deyerling

Zusammenfassung

Zu den gefürchteten Komplikationen der Kardiochirurgie gehört nach wie vor die Infektion und Entzündung im Bereich von Herzklappenprothesen oder anderen Fremdmaterialien, die bei der operativen Korrektur von Angiokardiopathien einschließlich Herzklappenfehlern verwendet werden. Ihre Gefahr liegt in dem antibiotisch schwer ausheilbaren Entzündungsprozeß mit seinen Komplikationen wie der lokal-abszedierenden Ausbreitung, Embolien und Sepsis und in den hämodynamischen Auswirkungen der Klappen-(Prothesen-)Malfunktion infolge paravalvulären Lecks oder der Klappenthrombose. Sollen Inzidenz und Letalität dieser schwerwiegenden Erkrankung gesenkt werden, so sind Besonderheiten des klinischen Verlaufs und der durch sie erschwerten Diagnostik wie auch der Therapie inklusive der perioperativen Prophylaxe zu beachten.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • K. Gahl
  • R. Hetzer
  • W. Deyerling

There are no affiliations available

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