title: [Mitral valve repair in the course of active infectious endocarditis. Study of four patients].
abstract: OBJECTIVE
  Mitral valve (MV) repair is the preferred surgical treatment for degenerative mitral regurgitation (MR). However, questions remain about the efficacy of MV repair when performed for MR caused by infective endocarditis (IE), particularly during its active phase. Although several observational studies have suggested the superiority of MV repair over replacement in patients undergoing surgery for IE, many centres are still opting for valve replacement because of its technical feasibility and reproducibility. In the following document we expose the experience of our hospital.
  
  
  METHODS
  We present a series of 4 patients who recently underwent surgery for IE during its active phase. Epidemiological and clinical characteristics are discussed.
  
  
  RESULTS
  All patients underwent different MV repair techniques. No relapse or reinfection has been reported. All patients present MR grades 0 or iI/ivIV at follow up.
  
  
  CONCLUSIONS
  Even during the active phase of IE, MV repair is a feasible technique with good postoperatory results.
authors.affiliation: Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España. carlos.galonso@gmail.com
authors.forename: Carlos J
authors.initials: CJ
authors.lastname: García-Alonso
authors.forename: Elena
authors.initials: E
authors.lastname: Ferrer
authors.forename: Nuria
authors.initials: N
authors.lastname: Vallejo
authors.forename: Luis
authors.initials: L
authors.lastname: Delgado
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Pedro-Botet
authors.forename: Xavier
authors.initials: X
authors.lastname: Ruyra
authors.forename: Antoni
authors.initials: A
authors.lastname: Bayés-Genis
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D002815:Chordae Tendineae / Q000000981:diagnostic imaging / Q000601:surgery; D004617:Embolism / Q000517:prevention & control; D004696:Endocarditis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery; D013536:Suture Techniques; D014463:Ultrasonography