A structured approach to native mitral valve infective endocarditis: Is repair better than replacement?

ABSTRACT:

Objectives

Mitral valve repair in native active infective endocarditis is technically challenging. The survival benefit over valve replacement is poorly established and possibly absent because of the high risk of repair failure and reoperation. In this study, we explore the results of our structured approach in these patients.

Methods

Between January 2000 and January 2017, 149 patients underwent surgery for native mitral infective endocarditis. Among them, 97 (66%) patients underwent valve repair and 52 (34%) underwent valve replacement. Our structured approach consisted of early surgery, radical resection of infected tissue, liberal use of prosthetic materials and 'patch' repair techniques. A critical assessment of expected repair durability was made intraoperatively and re

SUBMITTER: Defauw RJ 

PROVIDER: S-EPMC7453034 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature