title: "Double-orifice" technique to repair extensive mitral valve excision following acute endocarditis.
abstract: The use of conservative surgical techniques to treat mitral valve regurgitation secondary to acute endocarditis is controversial. Reconstruction of the anterior leaflet may represent an additional challenge in such a setting. We report a case of mitral valve repair where extensive excision of the anterior leaflet and related chordae tendinea was necessary because of large vegetation secondary to acute endocarditis. The "double-orifice" technique was performed and allowed the salvage of the native valve. There was no recurrent infection at 6 months from surgery, with optimal hemodynamic results.
authors.affiliation: Cardiac Surgery Division, Civic Hospital, Brescia, Italy. roberto_lorusso@iol.it
authors.forename: R
authors.initials: R
authors.lastname: Lorusso
authors.forename: C
authors.initials: C
authors.lastname: Fucci
authors.forename: S
authors.initials: S
authors.lastname: Pentiricci
authors.forename: G
authors.initials: G
authors.lastname: Coletti
authors.forename: G
authors.initials: G
authors.lastname: La Canna
authors.forename: M
authors.initials: M
authors.lastname: Zogno
mesh_terms: D000208:Acute Disease; D002815:Chordae Tendineae / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D013203:Staphylococcal Infections / Q000150:complications* / Q000601:surgery