Simultaneous surgery is effective treatment and could be the management of choice in patients with infective endocarditis and splenic abscess

Aljadayel, Hadi Abo; Kahwaji, Aahmad; Nataj, Sadegh Zargar; Khamoshi, Amir jamsid; Trigarfakheri, Kourosh

doi:10.15761/jccr.1000131

Cited by 2 publications

(1 citation statement)

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“…Performing a splenectomy eliminates the potential for prosthetic valve infection, but creates immune-comp romised condition and a tendency for bleeding [14]. Some authors advise doing valvular surgery fi rst if there is no heart failure.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Infective Endocarditis, Complicated with Splenic Abscesses

Keltchev

Kazakov

Alexieva

et al. 2022

Acta Medica Bulgarica

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Infectious endocarditis (IE) represents an inflammation of the heart endothelium usually as a result of bacterial colonization after trauma. Splenic abscess is a rare and dangerous extracardiac manifestation of IE. An expert multidisciplinary collaboration is necessary for the diagnosis and treatment strategy of this high-risk and challenging disease. Valvuloplasty and splenectomy are the mainstay of radical treatment and offer excellent long-term results. We present two cases with infectious endocarditis, complicated with splenic abscesses, which were successfully operated in the Department of Cardiac Surgery.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Infective Endocarditis, Complicated with Splenic Abscesses

Keltchev

Kazakov

Alexieva

et al. 2022

Acta Medica Bulgarica

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Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

Ghavidel¹,

Zargar

Aljadayel

et al. 2022

Multidiscip Cardio Annal

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Background: There are many surgical methods used to treat sinus of Valsalva aneurysms, and these methods vary depending on the surgical team's expertise and the patient's health, which has an impact on the surgical outcomes. Objectives: In our study, we evaluated the midterm outcomes of a single center's highly skilled surgical team. Methods: In this retrospective cohort study the clinical data of 42 consecutive patients from November 1, 2005 to 21 august 2018 were reviewed and early and mid-term results were assessed. Twenty-two patients (53%) were presented with ruptured aneurysms; 8 of these patients (28.5%) had their aneurysms repaired with a double patch and an AV repair; nonetheless, 20 patients (46.6%) required valve replacement. Results: It was found that there was no bicuspid valve in our patients, no correlation between the presence of VSD and the severity of aortic insufficiency in our series (P = 0.89), and the severity of aortic insufficiency increased when the Valsalva aneurysm ruptured into the heart chambers. There was a strong association between female gender and ruptured sinus of Valsalva aneurysms (P = 0.02, AI severity, P = 0.05, aortic valve surgery, P = 0.03, and total AV replacement, P = 0.001). RSOV and the likelihood of a heart block did not correlate in our series (P = 0. 29). Conclusions: Results from one surgical team, particularly when the same specialist is making decisions, are more trustworthy. Excellent long-term outcomes are obtained, and rupture of the SOV is linked to an increase in AI and, ultimately, to aortic valve surgery, primarily AV replacement. Using patch technique for closing fistulas does not increase the post op arrhythmia.

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Simultaneous surgery is effective treatment and could be the management of choice in patients with infective endocarditis and splenic abscess

Cited by 2 publications

References 0 publications

Surgical Treatment of Infective Endocarditis, Complicated with Splenic Abscesses

Surgical Treatment of Infective Endocarditis, Complicated with Splenic Abscesses

Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

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