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Infective endocarditis and neurologic events: indications and timing for surgical interventions
- Source :
- European Heart Journal Supplements : Journal of the European Society of Cardiology, European Heart Journal Supplements, 22(M), M19-M25. Oxford University Press
- Publication Year :
- 2020
- Publisher :
- Oxford University Press, 2020.
-
Abstract
- A therapeutic dilemma arises when infective endocarditis (IE) is complicated by a neurologic event. Postponement of surgery up to 4 weeks is recommended by the guidelines, however, this negatively impacts outcomes in many patients with an urgent indication for surgery due to uncontrolled infection, disease progression, or haemodynamic deterioration. The current literature is ambiguous regarding the safety of cardiopulmonary bypass in patients with recent neurologic injury. Nevertheless, most publications demonstrate a lower risk for secondary haemorrhagic conversion of uncomplicated ischaemic lesions than the risk for recurrent embolism under antibiotic treatment. Here, we discuss the current literature regarding neurologic stroke complicating IE with an indication for surgery.
- Subjects :
- medicine.medical_specialty
Medizin
Ischemia
030204 cardiovascular system & hematology
Lower risk
law.invention
03 medical and health sciences
0302 clinical medicine
law
Cardiopulmonary bypass
Medicine
In patient
AcademicSubjects/MED00200
Intensive care medicine
Stroke
Valve repair
business.industry
Articles
medicine.disease
Embolism
Infective endocarditis
Cardiology and Cardiovascular Medicine
business
Surgical interventions
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 15542815 and 1520765X
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- European Heart Journal Supplements : Journal of the European Society of Cardiology
- Accession number :
- edsair.doi.dedup.....b1ae93c7cc727962e3fcbdf4141980bc