Active Infective Aortic Valve Endocarditis with Infection Extension
Active infective endocarditis is one of the most serious diseases of the heart. Infection often causes periannular abscess, and may also spread to affect the mitral valve structures. This complication carries a high mortality rate and valve replacement fo
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Henryk Siniawski
Active Infective Aortic Valve Endocarditis with Infection Extension Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
Steinkopff Darmstadt
Active Infective Aortic Valve Endocarditis with Infection Extension Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
Fortschritte der Herz-, Thorax-und Gefåûchirurgie Herausgegeben von R. Hetzer
Band 6
Henryk Siniawski
Active Infective Aortic Valve Endocarditis with Infection Extension Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
Steinkopff Darmstadt
Dr. med. Henryk Siniawski Deutsches Herzzentrum Berlin Augustenburger Platz 1 13353 Berlin
ISBN 3-7985-1521-2 Steinkopff Verlag, Darmstadt Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at . This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Steinkopff Verlag, Darmstadt a member of Springer Science+Business Media www.steinkopff.springer.de ° Steinkopff Verlag Darmstadt 2006 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature. SPIN 11503958
85/7231-5 4 3 2 1 0 ± Printed on acid-free paper
FOREWORD Active infective endocarditis, which until 40 and 50 years ago carried an almost 100 percent mortality, has greatly benefited from the immediate and consequent application of antibiotics on one hand, and, from growing experience and early decision-making for radical surgical elimination of all infected tissue on the other hand. This became most important in the cases of aortic root infection complicated by perivalvular extension through causing sometimes large abscess formation with destruction or compression of the surrounding structures. The most effective way of successful tre
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