Surgical outcomes of pulmonary valve infective endocarditis: A US population-based analysis

Datar, Yesh; Yin, Kanhua; Wang, Yunda; Lawrence, Kyle W.; Awtry, Eric H.; Cervantes‐Arslanian, Anna M.; Kimmel, Simeon D; Fagan, Maura; Weinstein, Zoe; Karlson, Karl J.; McAneny, David; Edwards, Niloo M.; Dobrilovic, Nikola

doi:10.1016/j.ijcard.2022.05.033

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Our study shows that the incidence of PPVIE in a tertiary hospital is as low as previously reported and similar to that reported by the Euro Endo Registry (2.4%) [1]. Due to its low incidence, information on clinical features of patients with PPVIE comes from a few nationwide registries [3,4], prospective valve trials sponsored by valve companies [7], or single center experience [2,8].…”

Section: Discussionsupporting

confidence: 87%

Clinical features and outcome of prosthetic pulmonary valve infective endocarditis

Daniel¹,

Carlos²,

Rafael³

et al. 2022

J Cardiovasc Med Cardiol

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Background: Infective endocarditis is a serious complication in patients with prostheses in the right ventricle outflow tract. The aim of our study is to assess clinical features in these patients. Methods: We have analyzed all cases of prosthetic pulmonary valve infective endocarditis (PPVIE) and compared them to the rest of the patients with IE. Since the year 2000, 375 cases of IE have been diagnosed in our center and nine patients had a PPVIE.: 3 patients with Melody percutaneous prostheses, 5 with a homograft (3 after a Rastelli procedure, 2 a Ross procedure), and 1 patient with a heterograft (Contegra conduit). Results: Mean age of PPVIE patients was 31±15 years old and 89% were male. A presumed portal of entry could only be identified in 4 of the 9 patients with PPVIE. The most common was a dental origin (3 patients). A causative microorganism was detected in all but one PPVIE patient: 3 S.viridans, 2 S.aureus, 2 coagulase-negative staphylococci, and 1 enterococcus. Most patients suffered complications during the in-hospital phase: 7 out of 9 PPVIE patients (78 vs.75% of the rest of IE patients), the most common congestive heart failure (5 patients), and persistent sepsis (4 patients). Six patients were operated on during hospitalization (67 vs. 55%) with a mean time from admission to surgery of 15 days. In-hospital mortality was similar (22 vs. 26%). Conclusions: Prevalence of PPVIE is low, with a clinical outcome, surgery rate, and survival similar to the rest of patients with IE.

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Section: Discussionsupporting

confidence: 87%

Clinical features and outcome of prosthetic pulmonary valve infective endocarditis

Daniel¹,

Carlos²,

Rafael³

et al. 2022

J Cardiovasc Med Cardiol

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“…After the eradication of the bacterial agent, a surgical correction of CHD and IE may be performed on an elective basis. Expedited surgery should be reserved for cases with a poor response to optimal medical treatment, intractable hemodynamic compromise due to severe destruction of right-sided valves, large vegetations on PV, and septic embolization to the lungs [4,6]. The decision to perform surgical correction in our case was based on clinical, laboratory, and instrumental evidence of persistent infection and severe hemodynamic compromise despite optimal medical therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Literature data on the replacement of PV with originally normal anatomy are scarce. PVIE is the main indication for PVR in this subgroup of patients [4]. Methods and details of the operative technique are not standardized [4,8].…”

Section: Discussionmentioning

confidence: 99%

“…It is most often associated with Intravenous drug abuse (IVDA). Patients with intracardiac devices, long-standing central venous catheters, and underlying CHD also have a higher risk for the development of RSIE [2][3][4]. Pulmonary valve IE (PVIE) is rare and occurs in less than 2% of endocarditis cases.…”

Section: Introductionmentioning

confidence: 99%

“…Pulmonary valve IE (PVIE) is rare and occurs in less than 2% of endocarditis cases. Literature data regarding the management of PVIE are scarce [4]. Therefore, medical strategies, indications for surgery, and the type of operative technique are still under debate in this clinical situation.…”

Section: Introductionmentioning

confidence: 99%

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Neocuspidization of the Pulmonary Valve with Autologous Pericardium in the Adult Patient with Ventricular Septal Defect and Infective Endocarditis: A Case Report and Review of the Literature

Mokryk¹,

Demyanchuk²,

Vashkeba³

et al. 2022

Congenital Heart Disease

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Congenital heart disease (CHD) is one of the risk factors for developing infective endocarditis (IE). Right-sided IE occurs in 5%-10% of endocarditis cases, and pulmonary valve (PV) is involved in less than 2% of such patients. Literature data are few, and optimal treatment methods, indications for surgery, and types of operative techniques are still under debate. We present an adult patient with a rare combination of the ventricular septal defect (VSD) and PV IE who underwent surgical treatment. Neocuspidization with autologous pericardium was utilized for the reconstruction of his PV. We discuss details of this novel surgical technique.

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Surgery for native pulmonary valve infective endocarditis: Known and unknown

Amat‐Santos

Barrero²,

Blasco-Turrión³

2022

International Journal of Cardiology

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Surgical outcomes of pulmonary valve infective endocarditis: A US population-based analysis

Cited by 6 publications

References 14 publications

Clinical features and outcome of prosthetic pulmonary valve infective endocarditis

Clinical features and outcome of prosthetic pulmonary valve infective endocarditis

Neocuspidization of the Pulmonary Valve with Autologous Pericardium in the Adult Patient with Ventricular Septal Defect and Infective Endocarditis: A Case Report and Review of the Literature

Surgery for native pulmonary valve infective endocarditis: Known and unknown

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