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European Journal of Cardio-Thoracic Surgery, Vol 3, 26-32, Copyright © 1989 by European Association for Cardio-thoracic Surgery
P Horvath, B Hucin, Z Slavik, M Voriskova, J Skovranek, V Chaloupecky and T Honek
A retrospective review of 11 children, aged 2 months to 15 years,
demonstrates the feasibility of surgical treatment for infective
endocarditis in childhood. Except for one case of perinatal infection, in
all instances the infective endocarditis was a complication of a congenital
heart defect. As medical treatment was not successful, surgery was
indicated. Debridement of infected tissue and repair of the congenital
heart defect was performed. There were no septic complications
postoperatively although 8 patients were operated upon during the active
stage of infection. One 2-month-old child did not survive excision of an
infected tricuspid valve. The follow-up period of 8 years to 5 months
(median 39 months) showed a good haemodynamic result (NYHA class I) in the
remaining 10 patients. This included 4 patients with prosthetic valves.
ARTICLES
Operative treatment of infective endocarditis in children
Center of Pediatric Cardiology and Cardiac Surgery, University Hospital Motol, Prague, Czechoslovakia.
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