RT info:eu-repo/semantics/doctoralThesis
T1 Prevención de embolias como indicación de cirugía en la endocarditis infecciosa izquierda
A1 Cabezón Villalba, Gonzalo
A2 Universidad de Valladolid. Escuela de Doctorado
K1 Corazón - Cirugía
K1 Infective endocarditis
K1 Endocarditis infecciosa
K1 32 Ciencias Médicas
AB Heart failure, uncontrolled infection and prevention of embolic events are the three surgical indications in left-sided infective endocarditis. While there is consensus on heart failure and uncontrolled infection being indications of cardiac surgery in this disease, scientific evidence supporting surgery just to avoid embolic events is scarce. In the present doctoral thesis, we present two works showing the limitations of prevention of embolic events as indication of surgery. We add a narrative review of embolic events in infective endocarditis. The first article is a retrospective study that suggests that cardiac surgery just to prevent embolic events patients with large vegetations without heart failure or uncontrolled infection is not beneficial. In the second article we analyze the interobserver variability between two experiment observers in the measurement of vegetation size by echocardiogram. This study concludes that interobserver variability is high and may change the surgical indications frequently. The third article is a narrative review about embolic events in infective endocarditis.
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/75253
UL https://uvadoc.uva.es/handle/10324/75253
LA spa
NO Escuela de Doctorado
DS UVaDOC
RD 12-mar-2025