PMID- 15278391
OWN - NLM
STAT- MEDLINE
DCOM- 20041222
LR  - 20040727
IS  - 0910-8327 (Print)
IS  - 0910-8327 (Linking)
VI  - 19
IP  - 4
DP  - 2004 Jul
TI  - Mid-term results of mitral valve repair for complicated active bacterial 
      endocarditis in high-risk patients.
PG  - 179-82
AB  - Mitral valve repair in endocarditis achieves a competent valve and prevents 
      septic embolization and acute left ventricular failure, in which operative 
      mortality could be increased. Early and mid-term results were examined to 
      establish whether emergency mitral valve repair offers an advantage in 
      complicated active endocarditis. Ten patients with complicated active native 
      valve endocarditis underwent mitral valve repair. The mean age was 45.8 +/- 18.5 
      years; two patients were female (20%). All patients had severe mitral 
      regurgitation, which combined in one patient with mitral valve stenosis. New York 
      Heart Association (NYHA) functional class was IV in all patients. The 
      macroscopically infected tissue with vegetation in all patients was excised. 
      Multiple techniques were required to achieve valve competence. There was one 
      (10%) hospital death in a patient with persistent congestive heart failure, and a 
      reoperation in another (10%) after 2 years. Mean follow-up was 32.1 +/- 12.7 
      months (range 1-45 months) and was complete. There were no late deaths, recurrent 
      endocarditis, or thromboembolic events. Seven patients (77.7%) were in NYHA 
      functional class I, and two (22.2%) were in class II. Mitral valve repair in 
      complicated active bacterial endocarditis limited to leaflet tissues has a low 
      operative mortality and valve-related morbidity, with promising mid-term survival 
      in high-risk patients.
FAU - Cebi, Niyazi
AU  - Cebi N
AD  - Department of Thoracic and Cardiovascular Surgery, St-Johannes-Hospital Dortmund, 
      Dortmund, Germany. niyazi@destur.de
FAU - Bozkurt, Engin
AU  - Bozkurt E
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Heart Vessels
JT  - Heart and vessels
JID - 8511258
SB  - IM
MH  - Emergency Treatment
MH  - Endocarditis, Bacterial/complications/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/*complications
MH  - Mitral Valve Stenosis/complications
MH  - Prospective Studies
MH  - Risk Factors
EDAT- 2004/07/28 05:00
MHDA- 2004/12/23 09:00
CRDT- 2004/07/28 05:00
PHST- 2003/08/27 00:00 [received]
PHST- 2004/01/30 00:00 [accepted]
PHST- 2004/07/28 05:00 [pubmed]
PHST- 2004/12/23 09:00 [medline]
PHST- 2004/07/28 05:00 [entrez]
AID - 10.1007/s00380-004-0767-7 [doi]
PST - ppublish
SO  - Heart Vessels. 2004 Jul;19(4):179-82. doi: 10.1007/s00380-004-0767-7.