title: Mitral valve repair in patients with infective endocarditis.
abstract: BACKGROUND
  The goal of the present study was to investigate the feasibility of mitral valvle repair in patients with infective endocarditis (IE).
  
  
  RESULTS
  Twenty-one patients who had undergone mitral valve surgery for IE were reviewed. Valve repair was performed in 8 patients with active and in 6 patients with healed endocarditis: 6 of these 14 patients were New York Heart Association (NYHA) functional class III or IV preoperatively. Valve replacement was performed in 5 patients with active endocarditis and in 2 with healed endocarditis: 6 of these 7 patients were NYHA functional class III or IV preoperatively. Repair techniques included annuloplasty (n=13), resection-suture (n=13), chordal transfer (n=2), and closure of the perforation (n=3). In the valve replacement group, 6 patients required concomitant aortic valve replacement. In the valve repair group, 1 patient died and 1 patient required reoperation for recurrent mitral regurgitation. Postoperative echocardiography demonstrated no (n=8) or mild (n=4) mitral regurgitation at the last follow-up examination. In the valve replacement group, 1 patient died and 1 patient required reoperation because of a paravalvular leak. No cases of recurrent infection occurred in either group.
  
  
  CONCLUSIONS
  Mitral valve repair in patients with IE is feasible and has low morbidity.
authors.affiliation: Division of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. tiptop@net.nagasaki-u.ac.jp
authors.forename: Hiroichiro
authors.initials: H
authors.lastname: Yamaguchi
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
authors.forename: Shiro
authors.initials: S
authors.lastname: Yamachika
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hisata
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Tanigawa
authors.forename: Kenta
authors.initials: K
authors.lastname: Izumi
authors.forename: Seiji
authors.initials: S
authors.lastname: Matsukuma
authors.forename: Daisuke
authors.initials: D
authors.lastname: Onohara
authors.forename: Ichiro
authors.initials: I
authors.lastname: Matsumaru
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004697:Endocarditis, Bacterial / Q000150:complications / Q000401:mortality / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000401:mortality