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Right-sided infective endocarditis: surgical management
Right-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis and is predominantly encountered among injecting drug users (IDUs). RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and...
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| Published in: | European journal of cardio-thoracic surgery 2012-09, Vol.42 (3), p.470-479 |
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| Main Authors: | , , , , |
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| cites | cdi_FETCH-LOGICAL-c457t-2157da4c6f4860f3516743e10564e9e847d6960a66c7a5e5da8b5316b8b6aa143 |
| container_end_page | 479 |
| container_issue | 3 |
| container_start_page | 470 |
| container_title | European journal of cardio-thoracic surgery |
| container_volume | 42 |
| creator | Akinosoglou, Karolina Apostolakis, Efstratios Koutsogiannis, Nikolaos Leivaditis, Vassilios Gogos, Charalambos A. |
| description | Right-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis and is predominantly encountered among injecting drug users (IDUs). RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and most cases (70-80%) resolve following antibiotic administration. Surgical intervention is indicated in patients with persistent infection that does not respond to antibiotic therapy, recurrent pulmonary emboli, intractable heart failure and if the size of a vegetation increases or persists at >1 cm. Techniques can be divided into 'prosthetic' (valve replacement or prosthetic annular implantation) or 'non-prosthetic' ones (Kay's or De Vega's annuloplasty, bicuspidalization or valvectomy). In IDUs who run a high risk of complications, vegetectomy and valve repair, avoiding artificial material should be considered as the first line of surgical management as is associated with better late survival. |
| doi_str_mv | 10.1093/ejcts/ezs084 |
| format | article |
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RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and most cases (70-80%) resolve following antibiotic administration. Surgical intervention is indicated in patients with persistent infection that does not respond to antibiotic therapy, recurrent pulmonary emboli, intractable heart failure and if the size of a vegetation increases or persists at >1 cm. Techniques can be divided into 'prosthetic' (valve replacement or prosthetic annular implantation) or 'non-prosthetic' ones (Kay's or De Vega's annuloplasty, bicuspidalization or valvectomy). In IDUs who run a high risk of complications, vegetectomy and valve repair, avoiding artificial material should be considered as the first line of surgical management as is associated with better late survival.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1093/ejcts/ezs084</identifier><identifier>PMID: 22427390</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Biological and medical sciences ; Cardiac Surgical Procedures - methods ; Cardiac Surgical Procedures - mortality ; Cardiology. Vascular system ; Echocardiography, Doppler ; Education, Medical, Continuing ; Endocardial and cardiac valvular diseases ; Endocarditis, Bacterial - diagnostic imaging ; Endocarditis, Bacterial - etiology ; Endocarditis, Bacterial - mortality ; Endocarditis, Bacterial - surgery ; Female ; Heart ; Heart Atria - physiopathology ; Heart Valve Diseases - diagnostic imaging ; Heart Valve Diseases - microbiology ; Heart Valve Diseases - surgery ; Heart Valve Prosthesis Implantation - methods ; Heart Valve Prosthesis Implantation - mortality ; Heart Ventricles - physiopathology ; Humans ; Male ; Medical sciences ; Middle Aged ; Pneumology ; Prognosis ; Pulmonary Valve - physiopathology ; Pulmonary Valve - surgery ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Risk Assessment ; Severity of Illness Index ; Substance Abuse, Intravenous - complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Survival Rate ; Treatment Outcome ; Tricuspid Valve - physiopathology ; Tricuspid Valve - surgery ; Young Adult</subject><ispartof>European journal of cardio-thoracic surgery, 2012-09, Vol.42 (3), p.470-479</ispartof><rights>The Author 2012. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2012</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-2157da4c6f4860f3516743e10564e9e847d6960a66c7a5e5da8b5316b8b6aa143</citedby><cites>FETCH-LOGICAL-c457t-2157da4c6f4860f3516743e10564e9e847d6960a66c7a5e5da8b5316b8b6aa143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,1591,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26264907$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22427390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akinosoglou, Karolina</creatorcontrib><creatorcontrib>Apostolakis, Efstratios</creatorcontrib><creatorcontrib>Koutsogiannis, Nikolaos</creatorcontrib><creatorcontrib>Leivaditis, Vassilios</creatorcontrib><creatorcontrib>Gogos, Charalambos A.</creatorcontrib><title>Right-sided infective endocarditis: surgical management</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><description>Right-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis and is predominantly encountered among injecting drug users (IDUs). RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and most cases (70-80%) resolve following antibiotic administration. Surgical intervention is indicated in patients with persistent infection that does not respond to antibiotic therapy, recurrent pulmonary emboli, intractable heart failure and if the size of a vegetation increases or persists at >1 cm. Techniques can be divided into 'prosthetic' (valve replacement or prosthetic annular implantation) or 'non-prosthetic' ones (Kay's or De Vega's annuloplasty, bicuspidalization or valvectomy). In IDUs who run a high risk of complications, vegetectomy and valve repair, avoiding artificial material should be considered as the first line of surgical management as is associated with better late survival.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Cardiology. Vascular system</subject><subject>Echocardiography, Doppler</subject><subject>Education, Medical, Continuing</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Endocarditis, Bacterial - diagnostic imaging</subject><subject>Endocarditis, Bacterial - etiology</subject><subject>Endocarditis, Bacterial - mortality</subject><subject>Endocarditis, Bacterial - surgery</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Atria - physiopathology</subject><subject>Heart Valve Diseases - diagnostic imaging</subject><subject>Heart Valve Diseases - microbiology</subject><subject>Heart Valve Diseases - surgery</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Heart Valve Prosthesis Implantation - mortality</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Prognosis</subject><subject>Pulmonary Valve - physiopathology</subject><subject>Pulmonary Valve - surgery</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Tricuspid Valve - physiopathology</subject><subject>Tricuspid Valve - surgery</subject><subject>Young Adult</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp90MtLxDAQBvAgiruu3jxLL6IH6ybNs95k8QULgih4K2kyXbP0sSatoH-91Va9eZo5_PiG-RA6JPic4JTOYW3aMIePgBXbQlOiJI0lZc_b_Y4JjmXK8ATthbDGGAuayF00SRKWSJriKZIPbvXSxsFZsJGrCzCte4MIatsY7a1rXbiIQudXzugyqnStV1BB3e6jnUKXAQ7GOUNP11ePi9t4eX9zt7hcxoZx2cYJ4dJqZkTBlMAF5URIRoFgLhikoJi0IhVYC2Gk5sCtVjmnROQqF1oTRmfodMjd-Oa1g9BmlQsGylLX0HQhI5hSxoVSqqdnAzW-CcFDkW28q7R_71H2VVX2XVU2VNXzozG5yyuwv_inmx4cj0CH_vnC69q48OdEIliKZe9OBtd0m_9PfgKoan-Y</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Akinosoglou, Karolina</creator><creator>Apostolakis, Efstratios</creator><creator>Koutsogiannis, Nikolaos</creator><creator>Leivaditis, Vassilios</creator><creator>Gogos, Charalambos A.</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Right-sided infective endocarditis: surgical management</title><author>Akinosoglou, Karolina ; Apostolakis, Efstratios ; Koutsogiannis, Nikolaos ; Leivaditis, Vassilios ; Gogos, Charalambos A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-2157da4c6f4860f3516743e10564e9e847d6960a66c7a5e5da8b5316b8b6aa143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiac Surgical Procedures - mortality</topic><topic>Cardiology. Vascular system</topic><topic>Echocardiography, Doppler</topic><topic>Education, Medical, Continuing</topic><topic>Endocardial and cardiac valvular diseases</topic><topic>Endocarditis, Bacterial - diagnostic imaging</topic><topic>Endocarditis, Bacterial - etiology</topic><topic>Endocarditis, Bacterial - mortality</topic><topic>Endocarditis, Bacterial - surgery</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Atria - physiopathology</topic><topic>Heart Valve Diseases - diagnostic imaging</topic><topic>Heart Valve Diseases - microbiology</topic><topic>Heart Valve Diseases - surgery</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Heart Valve Prosthesis Implantation - mortality</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Prognosis</topic><topic>Pulmonary Valve - physiopathology</topic><topic>Pulmonary Valve - surgery</topic><topic>Radiotherapy. 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Graft diseases</topic><topic>Surgery of the heart</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Tricuspid Valve - physiopathology</topic><topic>Tricuspid Valve - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akinosoglou, Karolina</creatorcontrib><creatorcontrib>Apostolakis, Efstratios</creatorcontrib><creatorcontrib>Koutsogiannis, Nikolaos</creatorcontrib><creatorcontrib>Leivaditis, Vassilios</creatorcontrib><creatorcontrib>Gogos, Charalambos A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akinosoglou, Karolina</au><au>Apostolakis, Efstratios</au><au>Koutsogiannis, Nikolaos</au><au>Leivaditis, Vassilios</au><au>Gogos, Charalambos A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right-sided infective endocarditis: surgical management</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>42</volume><issue>3</issue><spage>470</spage><epage>479</epage><pages>470-479</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Review-1</notes><abstract>Right-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis and is predominantly encountered among injecting drug users (IDUs). RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and most cases (70-80%) resolve following antibiotic administration. Surgical intervention is indicated in patients with persistent infection that does not respond to antibiotic therapy, recurrent pulmonary emboli, intractable heart failure and if the size of a vegetation increases or persists at >1 cm. Techniques can be divided into 'prosthetic' (valve replacement or prosthetic annular implantation) or 'non-prosthetic' ones (Kay's or De Vega's annuloplasty, bicuspidalization or valvectomy). In IDUs who run a high risk of complications, vegetectomy and valve repair, avoiding artificial material should be considered as the first line of surgical management as is associated with better late survival.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>22427390</pmid><doi>10.1093/ejcts/ezs084</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of cardio-thoracic surgery, 2012-09, Vol.42 (3), p.470-479 |
| issn | 1010-7940 1873-734X |
| language | eng |
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| subjects | Adult Biological and medical sciences Cardiac Surgical Procedures - methods Cardiac Surgical Procedures - mortality Cardiology. Vascular system Echocardiography, Doppler Education, Medical, Continuing Endocardial and cardiac valvular diseases Endocarditis, Bacterial - diagnostic imaging Endocarditis, Bacterial - etiology Endocarditis, Bacterial - mortality Endocarditis, Bacterial - surgery Female Heart Heart Atria - physiopathology Heart Valve Diseases - diagnostic imaging Heart Valve Diseases - microbiology Heart Valve Diseases - surgery Heart Valve Prosthesis Implantation - methods Heart Valve Prosthesis Implantation - mortality Heart Ventricles - physiopathology Humans Male Medical sciences Middle Aged Pneumology Prognosis Pulmonary Valve - physiopathology Pulmonary Valve - surgery Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Risk Assessment Severity of Illness Index Substance Abuse, Intravenous - complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Survival Rate Treatment Outcome Tricuspid Valve - physiopathology Tricuspid Valve - surgery Young Adult |
| title | Right-sided infective endocarditis: surgical management |
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