Key result
Surgery is the recommended treatment for prosthetic valve endocarditis, especially in unstable patients or those with complications, though it may be postponed in stable patients without structural damage.
Why the study?
Does surgical treatment improve outcomes and survival compared to non-surgical treatment in patients with prosthetic valve endocarditis?
Systematic Review
Does surgical treatment improve outcomes and survival compared to non-surgical treatment in patients with prosthetic valve endocarditis?
Early surgical intervention is indicated for most patients with prosthetic valve endocarditis, particularly those with complications or S. aureus infection, aligning with current ACC/AHA guidelines.
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Endorses early surgery in unstable prosthetic valve endocarditis; reinforces guidelines while leaving optimal timing open in stable patients without complications.
Attaran et al. (2012) conducted a systematic review in Prosthetic valve endocarditis. Surgery vs. Non-surgical treatment was evaluated on Outcome and survival. Surgery is the recommended treatment for prosthetic valve endocarditis, especially in unstable patients or those with complications, though it may be postponed in stable patients without structural damage.
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