INFECTIVE ENDOCARDITIS AS A CAUSE OF RE-OPERATIONS FOR CONGENITAL HEART DISEASE
The research shows the role of infectious endocarditis as a cause of re-operation in patients with congenital heart disease. The methods of prevention of infectious complications in performing initial correction are presented. The indications for reoperation in infectious endocarditis and their immediate results are considered. Also the paper presents the special surgical technique which allows to performing the re-operations most effectively. Special attention is paid to the choosing of material for plastics of heart walls defects and the type of prosthetic heart valve. The postoperative management of patients with congenital heart defects, complications of infective endocarditis is analyzed in the article. The importance of the proper selection of antibiotics is noted. The effectiveness of the correction of metabolic disorders in the postoperative period is estimated in the article. The methods of estimating residual hemodynamic disorders of prosthetic valves from inspection of these changes in operating room at the end of cardio-pulmonary bypass to estimate the function of the prosthetic valve at discharge from hospital are discussed. The investigation demonstrates good immediate and long term results of re-operations in a given group of patients, it allows us to attribute our conclusions to practical recommendations for cardiovascular surgeons, dealing with congenital heart defects.