Decision-Making Aspects in Valve Surgery for Active Bacterial Endocarditis

Aortic root abscess and secondary infective mitral valve disease: results of surgical endocarditis treatment

“…The strategy of operation in patients suffering from active infective aortic valve endocarditis is dependent on how much destruction of paraannular and subannular tissue has taken place. Invasion of infection into periannular structures of the aortic valve can produce technical problems that can only be managed in dependence on the individual situation [7,8,9]. Most of our cases were treated with a homograft or the Shelhigh NoReact w Superstentlesse and Stentless Aortic Valve Conduite as an alternative.…”

Surgery for Active Infective Endocarditis

“…Nevertheless, many patient s finally reached the cardiac surgeon -under more opportune conditions with the valve damage healed, frequently enough, however, still showing active infection. Active infective valvular endocarditis is defined accord ing to Stinson's criteria (5,10) which are based both on clinical symptoms as well as on evidence of fresh inflammatory valve disease. Note that positive bacterial or fungal culture is not a prerequisite fo r the diagnosis.…”