Experience of the surgical treatment of infective endocarditis complicated with cerebral vascular complication in 40 cases

Objective:To investigate the diagnosis,surgical indications and timing of surgical treatment of infective endocarditis complicated with cerebral vascular complications for summarizing the clinical experience.Methods:The data of the 40 patients with infective endocarditis complicated with preoperative complication before operation were retrospectively analyzed.After admission,the patients were treated with sensitive antibiotics according to the blood culture finding combined with nerve nutrition.The appropriate timing of surgery was selected,thorough removing the lesion and correcting cardiac malformations were implemented during the period of operation.After operation,the patients were treated with cardiotonic,diuresis and sensitive antibiotics.Results:The early postoperative death in 6 cases,recurrence of cerebral hemorrhage in 2 cases,malignant arrhythmia in 2 cases,severe pulmonary infection in 1 case,low cardiac output syndrome in 1 case and circulatory failure secondary to renal failure in 1 case were found,34 cases cured.Conclusions:The surgical treatment effect in patients with infective endocarditis complicated with cerebral vascular complication is satisfaction.The early diagnosis,reasonable grasping the timing of surgery,thorough removing the lesions,postoperative standard anti-infection and anticoagulant therapy are the key.