Current Characteristics of Infective Endocarditis with Congenital Heart Disease: A Retrospective Survey of 121 Cases between 1985 and 2006

摘要: Background and Objectives: The relative proportion of infective endocarditis (IE) with congenital heart disease (CHD) has increased because improved survival CHD. This may affect the current profile IE aim this study is to assess changing profiles Subjects Methods: All cases diagnosed from January 1985 May 2006 were retrospectively reviewed analyzed according period (period I-prior 1995, II-after 1996). Duke criteria used for definition diagnosis. Results: As a whole, 121 episodes occurred (63 in I 58 II). Although mean age was similar patients two periods, younger larger during II. During II, number non-surgical ventricular septal defect (VSD) decreased Rastelli procedure increased. Negative blood cultures both periods. S. viridans most common causative organism Post-surgical after dental in-hospital mortality rate, total complication requiring early surgery not different either period. However, interval shorter II 35±21.1 days, 22±16.5 p=0.041). Conclusion: Our indicates that CHD still major problem clinical features exhibited presence VSD as underlying one needs pay more attention education population at risk. (Korean Circ J 2007;37:635-640)