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Review
. 2024 May;40(Suppl 1):115-125.
doi: 10.1007/s12055-024-01740-7. Epub 2024 May 14.

Perioperative care in infective endocarditis

Eduard Quintana  1 , Sara Ranchordas  2 , Cristina Ibáñez  3 , Polina Danchenko  4 , Francis Edwin Smit  5 , Carlos-Alberto Mestres  5
Affiliations
Review

Perioperative care in infective endocarditis

Eduard Quintana et al. Indian J Thorac Cardiovasc Surg. 2024 May.

Abstract

Patients undergoing surgery for acute infective endocarditis are among those with the highest risk. Their preoperative condition has significant impact on outcomes. There are specific issues related with the preoperative situation, intraoperative findings, and postoperative management. In this narrative review, focus is placed on the most critical aspects in the perioperative period including the management and weaning from mechanical ventilation, the management of vasoplegia, the management of the chest open, antithrombotic therapy, transfusion, coagulopathy, management of atrial fibrillation, the duration of antibiotic therapy, and pacemaker implantation.

Keywords: Cardiac surgery; Complications; Diagnostic criteria; Infective endocarditis; Perioperative care.

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Conflict of interest statement

Conflict of interestCAM reports speaker fees from CytoSorbents, Inc., and is a member of the Edwards Clinical Events Committee. The other authors declare that they have no conflict of interest in this study.

Figures

Fig. 1
Fig. 1
Left panel—intraoperative view of mediastinal packing with cotton, our usual practice. Right panel—postoperative view in the intensive care unit. Silicone membrane covering the defect, anchored to the skin
See this image and copyright information in PMC

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