| Autor: |
M, Benichou, M B, Larbi, T, Fosse, S, Dembele, S, Cohen, P, Djiane, A, Serradimigni |
| Jazyk: |
francouzština |
| Rok vydání: |
1986 |
| Předmět: |
|
| Zdroj: |
Presse medicale (Paris, France : 1983). 15(20) |
| ISSN: |
0755-4982 |
| Popis: |
Among 77 patients with bacterial endocarditis on native valves explored by echocardiography, 12 (7 male, 5 female, mean age: 50 years) presented with mitral valve prolapse. This condition is relatively common, being found in 15.5% of patients with bacterial endocarditis and in 32% of those with mitral valve endocarditis. Two-dimensional TM echocardiography showed the mitral valve prolapse in every case and, in 11/12 cases, a vegetation associated with a varying degree of thickening of the valve due to myxoid degeneration. Although cardiac signs were sometimes minimal. Ten hemocultures were positive: 7 for streptococci, 2 for staphylococci and 1 for Hemophilus para-aphrophilus. Two patients died of cerebral haemorrhage, and there were 2 cases of hemiplegia, 4 cases of transient left ventricular failure and 2 cases of spleen embolism. These findings suggest that prophylactic treatment of bacterial endocarditis should be undertaken in patients with mitral valve prolapse and signs of myxoid degeneration at echocardiography. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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