Surgical Management of Patients with Infective Endocarditis: A Systematic Review | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 15, Volume 70, Issue 11, January 2018, Pages 1952-1958 PDF (227.73 K) | ||
| Document Type: Original Article | ||
| Authors | ||
| Nouf Saleh Sadun* 1; Thamer Hassan Mobarki2 | ||
| 1College of Medicine, Umm Al-Qura University | ||
| 2Faculty of Medicine, Jazan University | ||
| Abstract | ||
| Introduction: 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. Objective: 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. Methods: 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. Results: 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. Conclusion: 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. | ||
| Keywords | ||
| Infective endocarditis; bacterial endocarditis; Surgery; Treatment; valve replacement | ||
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