Role of mitral valve repair in active infective endocarditis: long term results

Journal of Cardiothoracic Surgery
Carlo RostagnoPier Luigi Stefàno

Abstract

Although mitral valve repair is at present the technique of choice in mitral regurgitation (MR) due to degenerative valve disease, long term results in patients with active mitral infective endocarditis (IE) are still under evaluation. In the study were included 34 consecutive patients (22 males; mean age, 60 years; range 32-84 years) referred to our institution between January 1, 2005 to December 31, 2011 who were treated with valve repair for mitral valve (MV) active infective endocarditis. Eighteen patients underwent isolated MV repair. Aortic valve replacement and respectively repair were performed in 9 and 2 patients with concomitant aortic involvement. Blood cultures were positive in 30 (17 Staphylococcus, 13 Streptococcus, 1 g negative, 2 enterococcus). Four patients died during hospital stay (11%) due to multi system organ failure as a consequence of severe septic shock (2 patients), cardiogenic shock (1 case) and respiratory failure (1 patient). At an average follow up of 48 months in patients discharged alive from hospital survival was 96.7% (29 out of 30). None developed more than mild- to moderate mitral valve regurgitation during follow-up and we found a significant improvement in functional capacity and left ventr...Continue Reading

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Citations

Oct 14, 2017·Current Treatment Options in Cardiovascular Medicine·Marc-André BouchardJonathan Beaudoin
Aug 8, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Silvia SolariGébrine El Khoury
Jun 19, 2019·Journal of Cardiac Surgery·Mohamad AlkhouliChris C Cook
Mar 19, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Eva Havers-BorgersenEmil L Fosbøl
May 22, 2019·La Presse médicale·Bruno HoenUNKNOWN l’Endocarditis Team du CHU de Nancy

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Methods Mentioned

BETA
coronary artery bypass

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