Right-sided infective endocarditis: valvuloplasty, valvectomy or replacement.

摘要: Fifteen patients were operated upon for right-sided infective endocarditis after failing medical treatment. The infection was localized sufficiently to allow reconstruction without valve replacement in 9 (60%). Extensive annular and tri-leaflet infections (2 pts.) or significant residual regurgitation prohibited four patients. In the remaining two patients, relatively low intracardiac pressures allowed isolated tricuspid pulmonary valvectomy (1 each). single hospital mortality (6.7%) resulted from a missed secondary lesion during reparation. Late recurrence valvuloplasty group 0 (0%) while late death occurred 2 of 5 (40%) groups. Right-sided is frequently amenable recurrence. Its advantage establishing satisfactory hemodynamics prosthetic replacement. Alternatively, can be occasionally performed. Simultaneous staged required early (associated left-sided infection) (right-sided dilation) hemodynamic reasons.