J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1617KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(9): 1188-1190, 1985

Report on the annual meeting

SURGICAL TREATMENT FOR INFECTIVE ENDOCARDITIS
ーDECISION TREE FOR THE TREATMENT AND INTRODUCTION OF TRANSLOCATION METHODー

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical College, Tokyo, Japan

Hitoshi Koyanagi, Seiji Nakano, Kozo Matsuo, Eisaburo Imamura, Hiroshi Nishida, Masahiro Endo, Akimasa Hashimoto

Persistent fever during active-phase IE is an indication for surgical treatment in the light of the causative organism and the underlying disease. To counter worsening hemodynamics, surgery may be the only feasible way. Surgery is performed when the patient does not respond to vasodilators and he shows FS of less than 25％. The introduction of translocation provides a solution for the treatment of active IE. Lesions, vegetations more than 5mm in diameter, periannular abscess, and mycotic aneurysm that could nerver be overlooked by two-dimensional echocardiography may hasten the earlystage decision of ways to treat IE.

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