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Double valve endocarditis and evolving paraannular abscess formation

  • Henryk Siniawski
  • M. Dandel
  • H. B. Lehmkuhl
  • C. A. Yankah
  • Roland Hetzer

Abstract

Active infective endocarditis (AIE), which was first described by Osler in 1885 [1], is still a pernicious disease although its clinical course and outcome have changed since the introduction of penicillin and other antibiotics. This made the disease treatable and mortality was dramatically lowered but recent decades have not brought about any further improvement in treatment [2]. Today the mortality rate varies between 15 and 40% [3, 4, 5, 6, 7], which is as high as in patients suffering from acute myocardial infarction complicated by heart failure [8, 9]. However, it should be mentioned that in some published series the surgical mortality is very low. This implies not only that the criteria by which patients are included in studies vary but also that there is something that could be done to improve the outcome of the disease. Because an important percentage of the patients demonstrate a disproportion between the objective state of the disease and their subjective symptoms [10], an improvement in visualization techniques such as magnetic resonance imaging [11] or computed tomography [12] — and especially the proper use of echocardiography [13] — could substantially improve diagnostic procedures. In “surgical cases” such an improvement helps to define the optimal window for surgical intervention and can lead to improved outcome. It is clear that, before the development of modern visualization techniques, root abscess was recognized only during surgery or in postmortem pathological investigations [14].

Keywords

Aortic Valve Mitral Valve Infective Endocarditis Mitral Valve Repair Prosthetic Valve Endocarditis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Osler W (1885) The Gulstonian lectures on malignant endocarditis. BMJ 1:467–470, 522–526, 577–579CrossRefPubMedGoogle Scholar
  2. 2.
    Peters PJ (2005) Infective endocarditis. Journal of Diagnostic Medical Sonography 21(3):192–204CrossRefGoogle Scholar
  3. 3.
    Netzer ROM, Zollinger E, Seiler C, Cerny A (2000) Infective endocarditis: clinical spectrum, presentation and outcome. An analysis of 212 cases 1980–1995. Heart 84:25–30PubMedCrossRefGoogle Scholar
  4. 4.
    Lowes JA, Hamer J, Williams G et al (1980) 10 Years of infective endocarditis at St. Barthololomewás Hospital: analysis of clinical features and treatment in relation to prognosis and mortality. Lancet 1:133–136PubMedCrossRefGoogle Scholar
  5. 5.
    Karchmer AW (1997) Infective endocarditis. In: Braunwald E (ed) Principles of Internal Medicine. Saunders, Philadelphia, pp 1077–1104Google Scholar
  6. 6.
    Hricak V, Kovacik J, Marks P, West D, Kromery V Jr (1999) Aetiology and outcome in 53 cases of native valve staphylococcal endocarditis Postgrad Med J 75:540–543PubMedGoogle Scholar
  7. 7.
    Cabell CH, Jollis JG, Peterson GE, Corey GR, Anderson DJ, Sexton DJ et al (2002) Changing patient characteristics and the effect on mortality in endocarditis. Arch Intern Med 162:90–94PubMedCrossRefGoogle Scholar
  8. 8.
    Maisch B (1989) Klinik der infektiösen Endokarditis. Internist 30:483–491PubMedGoogle Scholar
  9. 9.
    Califf RM, Bengston JR (1994) Cardiogenic shock. N Engl J Med 330:1724–1730PubMedCrossRefGoogle Scholar
  10. 10.
    Schön HR, Fuchs CJ, Schömig A, Blömer H (1994) Die infektiöse Endokarditis im Wandel. Analyse eines Krankheitsbilds im letzten Jahrzehnt. Z Kardiol 83:31–37PubMedGoogle Scholar
  11. 11.
    Jeang MK, Fuentes F, Gately A, Byrnes J, Lewis M (1986) Aortic root abscess: initial experiences using magnetic resonance imaging. Chest 89:613–615PubMedCrossRefGoogle Scholar
  12. 12.
    Cowan JC, Patrick D, Reid DS (1984) Aortic root abscess complicating bacterial endocarditis: demonstration by computed tomography. Br Heart J 52:591–593PubMedCrossRefGoogle Scholar
  13. 13.
    Enriquez-Sarano M, Nkomo VT, Michelena H (2008) Principles and practice of echocardiography in cardiac surgery. Card Surg Adult 3:315–348Google Scholar
  14. 14.
    Sheldon WH, Golden A (1951) Abscesses of the valve rings of the heart, a frequent but not well recognized complication of acute bacterial endocarditis. Circulation 4:1–12PubMedGoogle Scholar
  15. 15.
    Prendergast BD (2006) The changing face of infective endocarditis. Heart 92(7):879–885PubMedCrossRefGoogle Scholar
  16. 16.
    Doukas G, Oc M, Alexiou C et al (2006) Mitral valve repair for active culture positive infective endocarditis. Heart 92:361–3PubMedCrossRefGoogle Scholar
  17. 17.
    Alexiou C, Langley SM, Stafford H et al (2000) Surgical treatment of infective mitral valve endocarditis: predictors of early and late outcome. J Heart Valve Dis 9:327–334PubMedGoogle Scholar
  18. 18.
    Mullany CJ, Chua YL, Schaff HV et al (1995) Early and late outcome after surgical treatment of culture-positive active endocarditis. Mayo Clin Proc 70:517–525PubMedCrossRefGoogle Scholar
  19. 19.
    Livesey S A (2006) Mitral valve reconstruction in the presence of infection (editorial). Heart 92(3):289–290PubMedCrossRefGoogle Scholar
  20. 20.
    Siniawski H, Lehmkuhl H, Weng Y, Pasic M, Yankah C, Hofmann M, Behnke I, Hetzer R (2003) Stentless aortic valves as an alternative to homografts for valve replacement in active infective endocarditis complicated by ring abscess. Ann Thorac Surg 75(3):803–808PubMedCrossRefGoogle Scholar
  21. 21.
    Siniawski H (2006) Clinical features in patients suffering from AIE with aortic root abscess. In: Hetzer R (ed) Active infective aortic valve endocarditis with infection extension. Clinical features, perioperative echocardiographic findings and results of surgical treatment. Fortschritte der Herz-, Thorax-und Gefäßchirurgie. Steinkopff, Darmstadt, pp 45–46Google Scholar
  22. 22.
    Habib G (2006) Management of infective endocarditis. Heart 92(1):124–130PubMedCrossRefGoogle Scholar
  23. 23.
    Thyny F, Disalvo G, Belliard O (2005) Risk of embolism and death in infective endocarditis: prognostic value of echocardiography. Circulation 112:69–75CrossRefGoogle Scholar
  24. 24.
    Thuny F, Avierinos J-F, Tribouilloy C, Giorgi R, Casalta J-P, Milandre L, Brahim A., Nadji G, Riberi A, Collart F et al (2007) Impact of cerebrovascular complications on mortality and neurologic outcome during infective endocarditis: a prospective multicentre study. Eur Heart J 28(9):1155–1161PubMedCrossRefGoogle Scholar
  25. 25.
    Jaffe WM, Morgan DE, Pearlman AS, Otto CM (1990) Infective endocarditis, 1983–1988: echocardiographic findings and factors influencing morbidity and mortality. J Am Coll Cardiol 15:1227–1233PubMedCrossRefGoogle Scholar
  26. 26.
    Wann LS, Hallam CC, Dillon JC, Weyman AE, Feigenbaum H (1979) Comparison of M-mode and cross-sectional echocardiography in infective endocarditis. Circulation 60:728–733PubMedGoogle Scholar
  27. 27.
    Mintz GS, Kotler NM, Segal BL, Parry WR (1979) Comparison of two-dimensional and M-mode echocardiography in the evaluation of patients with infective endocarditis. Am J Cardiol 43:738–744PubMedCrossRefGoogle Scholar
  28. 28.
    Martin RP, Meltzer RS, Chia BL, Stinson EB, Rakowski H, Popp RL (1980) Clinical utility of two-dimensional echocardiography in infective endocarditis. Am J Cardiol 46:379–385PubMedCrossRefGoogle Scholar
  29. 29.
    Stewart JA, Silimperi D, Harris P, Wise NK, Fraker TD Jr, Kisslo, JD (1980) Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications. Circulation 61:374–380PubMedGoogle Scholar
  30. 30.
    Daniel WG, Mugge A, Grote J, Hausmann D, Nikutta P, Laas J, Lichtlen PR, Martin RP (1993) Comparison of transthoracic and transesophageal echocardiography for detection of abnormalities of prosthetic and bioprosthetic valves in the mitral and aortic positions. Am J Cardiol 71:210–215PubMedCrossRefGoogle Scholar
  31. 31.
    Mugge A, Daniel WG, Frank G, Lichtlen PR (1989) Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J Am Coll Cardiol 14:631–638PubMedGoogle Scholar
  32. 32.
    Shapiro SM, Young E, De Guzman S, Ward J, Chiu CY, Ginzton LE, Bayer AS (1994) Transesophageal echocardiography in diagnosis of infective endocarditis. Chest 105:377–382PubMedCrossRefGoogle Scholar
  33. 33.
    Shively BK, Gurule FT, Roldan CA, Leggett JH, Schiller NB (1991) Diagnostic value of transesophageal compared with transthoracic echocardiography in infective endocarditis. J Am Coll Cardiol 18:391–397PubMedCrossRefGoogle Scholar
  34. 34.
    Roy P, Tajik AJ, Guiliani ER, Schattenberg TT, Gau GT, Frye RL (1976) Spectrum of echocardiographic findings in bacterial endocarditis. Circulation 53:474–482PubMedGoogle Scholar
  35. 35.
    Habib G (2003) Embolic risk in subacute bacterial endocarditis: role of transesophageal echocardiography. Curr Cardiol Rep 5:129–136PubMedCrossRefGoogle Scholar
  36. 36.
    Piper C, Hetzer R, Körfer R, Bergmann R, Horstkotte D (2002) The importance of secondary mitral valve involvement in primary aortic valve endocarditis: the mitral kissing vegetation. Eur Heart J 23:79–86PubMedCrossRefGoogle Scholar
  37. 37.
    Thuny F, Di Salvo G, Belliard O et al (2005) Risk of embolism and death in infective endocarditis: prognostic value of echocardiography. A prospective multicenter study. Circulation 112:744–754CrossRefGoogle Scholar
  38. 38.
    Steckelberg JM, Murphy JB, Ballard D, Bailey K, Tajik AJ, Taliercio CP, Giuliani ER, Wilson WR (1991) Emboli in infective endocarditis: the prognostic value of echocardiography. Ann Intern Med 114:635–640PubMedGoogle Scholar
  39. 39.
    Sun JP, Asher CR, Yang XS, Cheng GG, Scalia GM, Massed AG, Griffin BP, Ratliff NB, Steward MJ, Thomas JD (2001) Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation 103:2687–2693PubMedGoogle Scholar
  40. 40.
    Shapiro LM (2001) Cardiac tumors: diagnosis and management. Heart 85:218–222PubMedCrossRefGoogle Scholar
  41. 41.
    Berlin JA, Abrutyn E, Strom BL et al (1995) Incidence of infective endocarditis in the Delaware Valley, 1988–1990. Am J Cardiol 76:933–936PubMedCrossRefGoogle Scholar
  42. 42.
    Siniawski H (2006) Value of perioperative echocardiography. In: Hetzer R (ed) Active infective aortic valve endocarditis with infection extension. Clinical features, perioperative echocardiographic findings and results of surgical treatment. Fortschritte der Herz-Thorax-und Gefäßchirurgie. Steinkopff, Darmstadt, p 31Google Scholar
  43. 43.
    Ivert TS, Dismukes WE, Cobbs CG, Blackstone EH, Kirklin JW, Bergdahl LA (1984) Prosthetic valve endocarditis. Circulation 69:223–232PubMedGoogle Scholar
  44. 44.
    Calderwood SB, Swinski LA, Waternaux CM, Karchmer AW, Buckley MJ (1985) Risk factors for the development of prosthetic valve endocarditis. Circulation 72:31–37PubMedGoogle Scholar
  45. 45.
    Vlessis AA, Hovaguimian H, Jaggers J, Ahmad A, Starr A (1996) Infective endocarditis: ten-year review of medical and surgical therapy. Ann Thorac Surg 61:1217–1222PubMedCrossRefGoogle Scholar
  46. 46.
    Mugge A, Daniel WG, Frank G, Lichtlen P (1989) Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J Am Coll Cardiol 14:631–638PubMedCrossRefGoogle Scholar
  47. 47.
    Erbel R, Rohmann S, Drexler M, Mohr-Kahaly S, Gerharz CD, Iversen S, Oelert H, Meyer J (1988) Improved diagnostic value of echocardiography in patients with infective endocarditis by transoesophageal approach: a prospective study. Eur Heart J 9:43–53PubMedGoogle Scholar
  48. 48.
    Marcus RH, Heinrich RS, Bednarz J, Lupovitsch S, Abruzzo J, Borok R, Vandenberg B, Kerber RE, Piccione W, Yoganathan AP, Lang RM (1998) Assessment of small-diameter aortic mechanical prostheses. Physiological relevance of the Doppler gradient, utility of flow augmentation, and limitations of orifice area estimation. Circulation 9:866–872Google Scholar
  49. 49.
    Chirillo F, Pedrocco A, De Leo A, Bruni A, Totis O, Meneghetti P, Stritoni P (2005) Impact of harmonic imaging on transthoracic echocardiographic identification of infective endocarditis and its complications. Heart 91(3):329–333PubMedCrossRefGoogle Scholar
  50. 50.
    Siniawski H (2006) Clinical outcome after surgery in patients suffering from root abscess. In: Hetzer R (ed) Active infective aortic valve endocarditis with infection extension. Clinical features, perioperative echocardiographic findings and results of surgical treatment. Fortschritte der Herz-, Thorax-und Gefäßchirurgie. Steinkopff, Darmstadt, p 32Google Scholar
  51. 51.
    Wong CM, Oldershaw P, Gibson DG (1981) Echocardiographic demonstration of aortic root abscess after infective endocarditis. British Heart Journal 46:584–586PubMedCrossRefGoogle Scholar
  52. 52.
    Siniawski H, Grauhan O, Hofmann M, Pasic M, Weng Y, Yankah C, Lehmkuhl H, Hetzer R (2004) Factors influencing the results of double-valve surgery in patients with fulminant endocarditis: the importance of valve selection. Heart Surgery Forum 7(5):1–6, doi:10.1532/HSF98.20041075Google Scholar
  53. 53.
    Hecht SR, Berger M (1992) Right-sided endocarditis in intravenous drug users: prognostic features in 102 episodes. Ann Intern Med 117:560–566PubMedGoogle Scholar
  54. 54.
    Bashore TM (2007) Adult congenital heart disease: right ventricular outflow tract lesions. Circulation 115:1933–1947PubMedCrossRefGoogle Scholar
  55. 55.
    Pronovost P, Needham D, Berenholtz S et al (2006) An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 355:2725–2732PubMedCrossRefGoogle Scholar
  56. 56.
    McGee DC, Gould MK (2002) Preventing complications of central venous catheterization (review article). N Engl J Med 348:1123–1133CrossRefGoogle Scholar
  57. 57.
    Moss R, Munt B (2003) Injection drug use and right sided endocarditis. Heart 89:577–581PubMedCrossRefGoogle Scholar
  58. 58.
    Nadji G, Remadi JP, Coviaux F, Mirode AA, Brahim A, Enriquez-Sarano M, Tribouilloy C (2005) Comparison of clinical and morphological characteristics of Staphylococcus aureus endocarditis with endocarditis caused by other pathogens. Heart 91:932–937PubMedCrossRefGoogle Scholar
  59. 59.
    Shah PK (2005) Preservation of cardiac extracellular matrix by passive myocardial restraint: an emerging new therapeutic paradigm in the prevention of adverse remodeling and progressive heart failure. Circulation 112:1245–1247PubMedCrossRefGoogle Scholar
  60. 60.
    Denton MD, Digumarthy SR, Chua S, Colvin RB (2006) Case records of the Massachusetts General Hospital. Case 20-2006: an 84-year-old man with staphylococcal bacteremia and renal failure. N Engl J Med 354:2803–2813PubMedCrossRefGoogle Scholar
  61. 61.
    Kranidis A, Filippatos G, Koulouris S, Charitos C, Sioula E (2003) Pacemaker endocarditis with sizeable vegetation and intermittent fever. Echocardiography 20:295–296PubMedCrossRefGoogle Scholar
  62. 62.
    Musci M, Siniawski H, Pasic M, Grauhan O, Weng Y, Meyer R, Yankah CA, Hetzer R (2007) Surgical treatment of right-sided active infective endocarditis with or without involvement of the left heart: 20-year single center experience. Eur J Cardiothorac Surg 32:118–125PubMedCrossRefGoogle Scholar
  63. 63.
    San Roman JA, Vilacosta I, Zamorano JL, Almeria C, Sanchez-Harguindey L (1993) Transesophageal echocardiography in right-sided endocarditis. J Am Coll Cardiol 21:1226–1230PubMedCrossRefGoogle Scholar
  64. 64.
    Berger M, Delfin LA, Jelveh M, Goldberg E (1980) Two-dimensional echocardiographic findings in right-sided infective endocarditis. Circulation 61:855–861PubMedGoogle Scholar
  65. 65.
    El Muayed M, Chandrasekar Burjonroppa S, Croitoru M (2005) Added accuracy with 3D echocardiographic imaging of valvular vegetations. Echocardiography 22:361–362PubMedCrossRefGoogle Scholar
  66. 66.
    Lang RM, Mor-Avi V, Sugeng L et al (2006) Three-dimensional echocardiography: the benefits of the additional dimension. J Am Coll Cardiol 48:2053–2069PubMedCrossRefGoogle Scholar
  67. 67.
    Asch FM, Bieganski SP, Panza JA, Weissman NJ (2006) Real-time 3-dimensional echocardiography of intracardiac masses. Echocardiography 23:218–224PubMedCrossRefGoogle Scholar
  68. 68.
    Hetzer R, Deyerling W, Borst HG (1984) Herzklappenchirurgie bei aktiver infektiöser Endokarditis. In: Gahl K (ed) Infektiöse Endokarditis. Klinik, Diagnostik, Therapie. Steinkopff, Darmstadt, pp 148–176Google Scholar
  69. 69.
    Oakley CM, Hall RJC (2001) Endocarditis: problems of patients being treated for endocarditis and not doing well. Heart 85:470–474PubMedCrossRefGoogle Scholar
  70. 70.
    Braimbridge MV (1969) Cardiac surgery and bacterial endocarditis. Lancet 1: 1307–1309PubMedCrossRefGoogle Scholar
  71. 71.
    Buckley MJ, Mundth ED, Daggett WM, Austen WG (1971) Surgical management of the complications of sepsis involving the aortic valve, aortic root and ascending aorta. Ann Thorac Surg 12:291–399CrossRefGoogle Scholar
  72. 72.
    Gonzalez-Lavin L, Liese M, Ross DN (1970) The importance of “jet lesion” in bacterial endocarditis involving the left heart. J Thorac Cardivasc Surg 59:185–192Google Scholar
  73. 73.
    Gonzalez-Lavin L, Scappatura E, Liese M, Ross DN (1970) Mycotic aneurysm of the aortic root, a complication of aortic valve endocarditis. Ann Thorac Surg 9:551–556CrossRefGoogle Scholar
  74. 74.
    Okies JE, Bradshau MMW, Williams TW (1973) Valve replacement in bacterial endocarditis. Chest 63:898–904PubMedCrossRefGoogle Scholar
  75. 75.
    Shumacker HB (1972) Aneurysm of the aortic sinuses of Valsalvae due to bacterial endocarditis with special reference to their operative management. J Thorac Cardiovasc Surg 63:896–903PubMedGoogle Scholar
  76. 76.
    Hetzer R, Dalichau H, Borst HG (1975) Herzklappenchirurgie bei bakterieller Endocarditis. Thoraxchirurgie 23:427–430Google Scholar
  77. 77.
    Hetzer R, Oelert H, Borst HG (1981) Surgery for prosthetic valve endocarditis (Abstract). J Cardiovasc Surg 22:458Google Scholar
  78. 78.
    Hetzer R, Papagiannakis N, Dragojevic D, Oelert H, Gahl K, Borst HG (1981) Decision making aspects in valve surgery for active bacterial endocarditis. In: Birks W, Ostermeyer J, Shulte HD (eds) Cardiovascular Surgery. Springer, Berlin Heidelberg New York, pp 108–113Google Scholar
  79. 79.
    Hetzer R (1981) Prosthetic valve endocarditis. In: Boerhave (ed) Causes of Infectious Endocarditis. LeidenGoogle Scholar
  80. 80.
    Easaw J, El-Omar M, Ramsey M (2000) Perivalvar abscess of the mitral valve annulus with perforation owing to infective endocarditis. Heart 83:261PubMedCrossRefGoogle Scholar
  81. 81.
    Espinosa-Caliani JS, Montijano A, Melero JM, Montiel A (2000) Pseudoaneurysm in the mitral-aortic intervalvular fibrosa: a cause of mitral regurgitation. Eur J Cardiothorac Surg 17:757–759PubMedCrossRefGoogle Scholar
  82. 82.
    Mihaljevic T, Byrne JG, Cohn LH, Aranki SF (2001) Long-term results of multivalve surgery for infective multivalve endocarditis. Eur J Cardiothorac Surg 20: 842–846PubMedCrossRefGoogle Scholar
  83. 83.
    Gillinov M, Diaz R, Blackstone EH, Pettersson GB, Sabik JF, Lytle BW, Cosgrove DM (2001) Double valve endocarditis. Ann Thorac Surg 71:1874–1879PubMedCrossRefGoogle Scholar
  84. 84.
    Tleyjeh IM., Ghomrawi HMK., Steckelberg JM. et al (2007) The impact of valve surgery on 6-month mortality in left-sided infective endocarditis Circulation 115: 1721–1728PubMedCrossRefGoogle Scholar
  85. 85.
    Wallace SW, Walton BI, Kharbanda KR, Hardy R, Wilson AP, Swanton H (2002) Mortality from infective endocarditis: clinical predictors of outcome. Heart 88:53–60PubMedCrossRefGoogle Scholar
  86. 86.
    Rohmann S, Erbel R, Darius H et al (1991) Prediction of rapid versus prolonged healing of infective endocarditis by monitoring vegetation size. J Am Soc Echocardiogr 4:465–474PubMedGoogle Scholar
  87. 87.
    Di Salvo G, Habib G, Pergola V et al (2001) Echocardiography predicts embolic events in infective endocarditis. J Am Coll Cardiol 37:1669–1676Google Scholar
  88. 88.
    Zegdi R, Debièche M, Latrémouille C et al (2005) Long-term results of mitral valve repair in active endocarditis. Circulation 111:2532–5236PubMedCrossRefGoogle Scholar
  89. 89.
    Feringa HH, Shaw LJ, Poldermans D, Hoeks S, van der Wall EE, Dion RA, Bax JJ (2007) Mitral valve repair and replacement in endocarditis: a systematic review of literature. Ann Thorac Surg 83(2):564–570PubMedCrossRefGoogle Scholar
  90. 90.
    Iung B, Rousseau-Paziaud J, Cormier B et al (2004) Contemporary results of mitral valve repair for infective endocarditis. J Am Coll Cardiol 43:386–392PubMedCrossRefGoogle Scholar
  91. 91.
    Doukas G, Oc M, Alexiou C et al (2006) Mitral valve repair for active culture positive infective endocarditis. Heart 92:361–363PubMedCrossRefGoogle Scholar
  92. 92.
    Dreyfus G, Serraf A, Jebara VA et al (1990) Valve repair in acute endocarditis. Ann Thorac Surg 49:706–711PubMedCrossRefGoogle Scholar
  93. 93.
    Wallace SM, Walton BI, Kharbanda RK, Hardy R, Wilson AP, Swanton RH (2002) Mortality from infective endocarditis: clinical predictors of outcome. Heart 88:53–60PubMedCrossRefGoogle Scholar
  94. 94.
    Netzer RO, Altweg SC, Zollinger E, Täuber M, Carrel T, Seiler C (2002) Infective endocarditis: determinants of long term outcome. Heart 88:61–66PubMedCrossRefGoogle Scholar
  95. 95.
    Vikram HR, Buenconsejo J, Hasbun R, Quagliarello VJ (2003) Impact of valve surgery on 6-month mortality in adults with complicated, left-sided native valve endocarditis. JAMA 280:3207–3214CrossRefGoogle Scholar
  96. 96.
    Wilson RF, Thal AP, Kindling PH, Grifka T, Ackerman E (1965) Hemodynamic measurements in septic shock. Arch Surg 91:121–129Google Scholar
  97. 97.
    Suffredini AF, Fromm RE, Parker MM et al (1989) The cardiovascular response of normal humans to the administration of endotoxin. N Engl J Med 321:280–287PubMedCrossRefGoogle Scholar
  98. 98.
    Dole WP, O’Rourke RA (1983) Pathophysiology and management of cardiogenic shock. Curr Probl Cardiol 8:1–72PubMedCrossRefGoogle Scholar
  99. 99.
    Sylvester JT, Scharf SM, Gilbert RD, Fitzgerald RS, Traystman RJ (1979) Hypoxic and CO hypoxia in dogs: hemodynamics, carotid reflexes, and catecholamines. Am J Physiol 236:H22–H28PubMedGoogle Scholar
  100. 100.
    Benedict CR, Rose JA (1992) Arterial norepinephrine changes in patients with septic shock. Circ Shock 38:165–172PubMedGoogle Scholar
  101. 101.
    Cumming AD, Driedger A, McDonald JWD, Lindsay RM, Solez K, Linton AL (1988) Vasoactive hormones in the renal response to systemic sepsis. Am J Kidney Dis 11:23–32 [Erratum (1988) Am J Kidney Dis 11:363]PubMedGoogle Scholar
  102. 102.
    Sinawski H, Pasic M, Hetzer R (2005) Risk factors influencing outcome after surgical treatment of destructive endocarditis. Eur J Cardiothorac Surg 28:510CrossRefGoogle Scholar
  103. 103.
    Musci M, Siniawski H, Pasic M, Weng Y, Loforte A, Kosky A, Yankah C, Hetzer R (2008) Surgical therapy in patients with active infective endocarditis: seven-year single centre experience in a subgroup of 255 patients treated with the Shelhigh W stentless bioprosthesis. Eur J Cardiothorac Surg 34:410–417PubMedCrossRefGoogle Scholar
  104. 104.
    Siniawski H (2006) Patients suffering from AIE complicated by vasoactive shock. In: Hetzer R (ed) Active infective aortic valve endocarditis with infection extension. Clinical features, perioperative echocardiographic findings and results of surgical treatment. Fortschritte der Herz-Thorax-und Gefäßchirurgie. Steinkopff, Darmstadt, p 33Google Scholar
  105. 105.
    Helmcke F, Nanda NC, Hsiung MC, Soto B, Adey CK, Goyal RG, Gatewood RP Jr (1987) Color Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 74:175–183Google Scholar
  106. 106.
    Sasaki Y, Suehiro S, Shibata T et al (2000) Early surgery for active infective endocarditis. Jpn J Thorac Cardiovasc Surg 48:568–573PubMedGoogle Scholar
  107. 107.
    Chambers J (1999) Should we ever treat the echo rather than the patient? Heart 82:652–653PubMedGoogle Scholar
  108. 108.
    Di Salvo G, Habib G, Pergola V et al (2001) Echocardiography predicts embolic events in infective endocarditis. J Am Coll Cardiol 37:1669–1676Google Scholar
  109. 109.
    Tleyjeh IM, Ghomrawi HMK, Steckelberg JM et al (2007) The impact of valve surgery on 6-month mortality in left-sided infective endocarditis. Circulation 115:1721–1728PubMedCrossRefGoogle Scholar
  110. 110.
    Zegdi R, Debièche M, Latrémouille C et al (2005) Long-term results of mitral valve repair in active endocarditis. Circulation 111:2532–2536PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Henryk Siniawski
    • 1
  • M. Dandel
  • H. B. Lehmkuhl
  • C. A. Yankah
  • Roland Hetzer
    • 1
  1. 1.Charité Medical University BerlinDeutsches Herzzentrum BerlinBerlinGermany

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