Table 1.
No | Diagnosis | Past History | Clinical Presentation | Antibiotic Treatment before Operation | Indications | Operation | Out-Come |
---|---|---|---|---|---|---|---|
1. | Congenital Aortic valve stenosis | Ross operation 2000 y. | 2002 y. Fever 39 °C—long term, no response to antibiotics. Sepsis | Oxacillin | Isolated endocarditis of PV allograft | Replacement of the conduit with a new one | Good |
2. | CHD—stenosis of PAV and infundibular stenosis of RV | CHD from birth. No surgery or treatment | Sepsis | Oxacillin Gentamycin Cefazolin |
Endocarditis of PA | Correction of infundibular stenosis, excision of pulmonary artery valve and restoration of the right ventricle and pulmonary artery integrity using an allograft | Good |
3. | Congenital Aortic valve insufficiency | Ross operation 2002 y. 3 month after procedure–fever | Fever, long term, no response to antibiotics, heart failure in progress, AV insufficiency in progress | Amoxicillin Penicillin Vancomycin Unasyn Gentamycin |
Endocarditis of AV and PA allograft | Replacement of the graft by an allograft and replacement of aortic valve using mechanical prosthesis (St. Jude) | Good |
4. | CHD-VSD | CHD from birth. No surgery or treatment before | Sepsis | Oxacillin Ceftriaxone Cefuroxime Diflucan Meronem Amikacin |
Ventricular septal defect and pulmonary artery valve endocarditis | Closure of the defect and replacement of pulmonary artery with an allograft | Good |
5. | Congenital Aortic valve insufficiency | Ross procedure 1999 y. | Sepsis 2006 | Oxacillin Ampicillin Vancomycin Tienam |
Infectious endocarditis of the previously implanted pulmonary artery graft | Replacement of the conduit with a new one | Good |
6. | CHD—arterial trunk, VSD | CHD correction with allograft 2005 y. | Sepsis 2007 | Vancomycin Ampicillin |
Infectious endocarditis of the previously implanted pulmonary artery graft | Replacement of the conduit with a new one | Good |
7. | Acute Pulmonary Valve endocarditis | No history | Fever, long term, no response antibiotics, weight loss, heart insufficiency | Unasyn | Isolated pulmonary artery valve endocarditis | Replacement of pulmonary artery valve with a biological prosthesis | Good |
8. | Acute Pulmonary Valve endocarditis and Aortic Valve endocarditis | No history | Fever, long term, no response antibiotics. Sepsis | Tazocin Gentamycin |
Endocarditis of pulmonary artery and aortic valves | Replacement of aortic and pulmonary artery valves with biological prostheses | Good |