Journal of Nursing & Care

Surgical Experience for Prosthetic Valve Infective Endocarditis

Abstract

Shengli Jiang

Background: To explore the diagnosis and treatment strategy of prosthetic valve endocarditis (PVE). Materials and methods: From December 2014 to January 2019, a total of 19 PVE patients came to our hospital for treatment. These articles review the clinical symptoms, diagnosis, treatment process and prognosis of these patients, and discuss the disease characteristics and treatment strategy of PVE. Results: 4 patients died before operation, 15 patients received surgical heart valve replacement, and 3 patients died of septic shock after operation. All 12 discharged patients were followed up and their cardiac functions were obviously improved at present. Conclusions: Hospital internal infection control can effectively reduce the occurrence of early-onset PVE. Joint consultation of physicians and surgeons is helpful for early diagnosis and formulation of optimal treatment strategies. Grasping surgical indications, thorough removal of infected tissues during surgery and reconstruction of cardiac morphology and structure are the keys to the success of surgical intervention. Keywords: Heart valve replacement; Infective endocarditis; Prothetic valve endocarditis; Mechanical valve; Biological valve