Surgical management of infective endocarditis associated with cerebral complications Kiyoyuki Eishi, MD, Kouhei Kawazoe, MD, Yoshihiro Kuriyama, MD, Yoshitsugu.

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Presentation transcript:

Surgical management of infective endocarditis associated with cerebral complications Kiyoyuki Eishi, MD, Kouhei Kawazoe, MD, Yoshihiro Kuriyama, MD, Yoshitsugu Kitoh, MD, Yasunaru Kawashima, MD, Teruo Omae, MD The Journal of Thoracic and Cardiovascular Surgery Volume 110, Issue 6, Pages 1745-1755 (December 1995) DOI: 10.1016/S0022-5223(95)70038-2 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Computed tomographic scans of a patient with right middle cerebral artery infarction resulting from infective endocarditis. This patient underwent a Bentall-type operation for graft infection on the same day, resulting in massive brain swelling, and died 3 days later. Top row, Preoperative computed tomographic scans; bottom row, postoperative scans. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Distribution of the patients and hospital mortality according to intervals from the onset of cerebral infarction until the cardiac operation. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Exacerbation rate of cerebral damage including death related to cerebral injury according to the intervals from the onset of cerebral infarction (CI) until the cardiac operation. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 4 Correlation between the interval from the onset of cerebral infarction (CI) until the cardiac operation and the exacerbation of cerebral complications. When the intervals were classified into three groups, a significant difference in exacerbations was confirmed by post-hoc comparisons between the group operated on within 7 days and the group operated on within 15 to 28 days. ns, Not significant. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 5 Computed tomographic scans of a patient with cerebral hemorrhage resulting from infective endocarditis. This patient underwent mitral valve rereplacement 15 days after cerebral hemorrhage without any complications. Left, Preoperative computed tomographic scan; right, postoperative scan. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 6 Distribution of the patients and hospital mortality according to the intervals from the onset of cerebral hemorrhage until the cardiac operation. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 7 Exacerbation rate of cerebral damage including death related to cerebral injury (CB) according to the intervals from the onset of cerebral hemorrhage until the cardiac operation. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1745-1755DOI: (10.1016/S0022-5223(95)70038-2) Copyright © 1995 Mosby, Inc. Terms and Conditions