Original Article

Bacterial Endocarditis With Aortic Regurgitation Implications of Embolism

Authors: GARY L. STILES, MD, GOTTLIEB C. FRIESINGER, MD

Abstract

We studied 16 patients with 18 episodes of bacterial endocarditis and aortic regurgitation to learn the frequency and characteristics of systemic embolism. Seven patients had eight episodes of clinically apparent emboli, with a mortality of 43%; in those without emboli there was no mortality. The influences of congestive heart failure, type of infection, and echocardiographic findings on the embolic complications are discussed. The close association among embolism, congestive heart failure, and echocardiographic vegetation suggests that early operation is warranted in patients with any of these features in order to prevent emboli.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References