Zusammenfassung
Vor Beginn der Arä des therapeutischen Einsatzes von Antibiotika verlief eine infektiöse, bakterielle Endokarditis fast immer letal. Trotz großer diagnostischer und therapeutischer Fortschritte bleibt die Prognose einer Endokarditis auch heute noch schwerwiegend und ist nach wie vor mit beträchtlicher Morbidität und Letalität verbunden. Eine herzchirurgische prothetische Versorgung ist in etwa der Hälfte aller Fälle erforderlich. Rezente Guidelines diverser Fachgesellschaften erleichtern durch evidenz-basierte Empfehlungen die Betreuung von Patienten mit Endokarditis, allerdings fallen zunehmend mehr Patienten durch Komorbiditäten, Kontraindikationen für operative Versorgung, Alter und andere Aspekte aus dem Rahmen, der in Guidelines vorgegeben werden kann. Diese Zusammenstellung soll nicht nur auf die aktuellen Guidelines Bezug nehmen, sondern auch unter Einbindung rezenter Literatur zur Lösung klinischer Problemstellungen beitragen.
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Lechner, A. (2020). Endokarditis. In: Stanger, O. (eds) Kompendium der modernen Herzchirurgie beim Erwachsenen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0451-4_10
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