title: [Mitral valve repair for active infectious endocarditis].
abstract: Between December 2005 and November 2011, 11 patients with mitral valve regurgitation (MVR) resulting from native valve endocarditis underwent mitral valve plasty (MVP). These patients were aged 44.4 ± 11.3 years. The mean follow-up period of the patients was 3.1 ± 0.63 years. Five patients were men. Emergency or urgent surgery was required in 5 patients. Three patients were categorized as New York Heart Association( NYHA) functional class IV. Infection of the mitral valve, occurred in the anterior leaflet in 3 patients, the posterior leaflet in 5 patients, and the anterior-posterior leaflet in 3 patients. Nine patients had a resection suture technique. One patient had chordae replacement with expanded polytetrafluoroethylene (ePTFE), and 1 patient had replacement using the pericardium. All patients received ring annuloplasty with a partial flexible ring. After surgery, all patients were categorized as NYHA functional class I. There were no valve associated complications, no hospital deaths, no late deaths, and no reoperations. We conclude that MVP is an effective treatment for active infective endocarditis( AIE) with mitral regurgitation.
authors.affiliation: Department of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Sato
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kaminishi
authors.forename: Ippei
authors.initials: I
authors.lastname: Takazawa
authors.forename: Arata
authors.initials: A
authors.lastname: Muraoka
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Sakano
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Oki
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saito
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Konshi
authors.forename: Koji
authors.initials: K
authors.lastname: Kawahito
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D000328:Adult; D000368:Aged; D004696:Endocarditis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology