THƯƠNG TỔN TIM TRONG VIÊM NỘI TÂM MẠC NHIỄM KHUẨN VÀ THÁI ĐỘ ĐIỀU TRỊ NGOẠI KHOA

Abstract

Background: Infective endocarditis caused many severe complications that need to be early operated, but its result is very limited. Although many factors influence on attitude of surgical treatment, understanding divers opinions is necessary to improve the treatment effect.

Method: General review from medical literature and retrospective descriptive research based on endocarditis patients treated at Viet Duc hospital from 1 /2009 to 9 /2010

 Results: Infective endocarditis takes about 3-5 cases per 100.000 people per year; and 1% per year after valvular replacement. Mortality is still high (20-25%). There are many types of bacteria, most frequence is coccus gram(+) (world), and treptococcus (Vietnam), with high negative result of culture (20 – 60%). Cardiac anatomical lesions is very divers. Surgical treatment after controlled infection has better (success 60-80%) than urgent operation (fail > 70%). Must treatment antibiotic with good dose (continuously in 6-8 weeks).

Conclusion: Infective endocarditis is always a difficult challenge with cardiac surgery, especially with critical lesions. Next to general guideline, need to calculate for each case. Should try to control infection before intervention.