Surgical Management of Patients with Infective Endocarditis: A Systematic Review
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 11
Abstract
<strong>Introduction: </strong>Replacement of the heart valves has been spread recently with wide variety of types and surgical techniques. There is, however, no consensus regarding the best type and/or techniques of the surgical treatment of infective endocarditis.<br /> <strong>Objective:</strong> The aim of the systematic review was to evaluate the evidence-based published articles dealt with different types of valve replacement in the management of infective endocarditis.<br /> <strong>Methods: </strong>An electronic search was conducted on the electronic search engine PubMed including Medline. Keywords used for this research included; infective endocarditis, bacterial endocarditis, surgery, valve replacement, outcomes, timing, mortality, relapse and death.<br /> <strong>Results: </strong>Among the screened articles there were a total of 11 articles included for this systematic review. Out of which, there were 6 prospective randomized clinical trials and the remaining 5 studies were prospective clinical trials without randomization.<br /> <strong>Conclusion:</strong> From the findings of this review it can be concluded that the infective endocarditis is still a life-threatening disease requires more efforts for prevention and management. Surgical treatment of infective endocarditis with prosthetic or biologic valves does not differ significantly in outcomes or complications with a little bit higher in complications when using biologic valves.
Authors and Affiliations
Eman Helal
Keywords
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