PMID- 16434812
OWN - NLM
STAT- MEDLINE
DCOM- 20060505
LR  - 20191210
IS  - 1346-9843 (Print)
IS  - 1346-9843 (Linking)
VI  - 70
IP  - 2
DP  - 2006 Feb
TI  - Mitral valve repair in patients with infective endocarditis.
PG  - 179-83
AB  - BACKGROUND: The goal of the present study was to investigate the feasibility of 
      mitral valvle repair in patients with infective endocarditis (IE). METHODS AND 
      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.
FAU - Yamaguchi, Hiroichiro
AU  - Yamaguchi H
AD  - 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
FAU - Eishi, Kiyoyuki
AU  - Eishi K
FAU - Yamachika, Shiro
AU  - Yamachika S
FAU - Hisata, Yoichi
AU  - Hisata Y
FAU - Tanigawa, Kazuyoshi
AU  - Tanigawa K
FAU - Izumi, Kenta
AU  - Izumi K
FAU - Matsukuma, Seiji
AU  - Matsukuma S
FAU - Onohara, Daisuke
AU  - Onohara D
FAU - Matsumaru, Ichiro
AU  - Matsumaru I
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Endocarditis, Bacterial/complications/mortality/*surgery
MH  - Female
MH  - *Heart Valve Prosthesis Implantation/methods/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/etiology/mortality
EDAT- 2006/01/26 09:00
MHDA- 2006/05/06 09:00
CRDT- 2006/01/26 09:00
PHST- 2006/01/26 09:00 [pubmed]
PHST- 2006/05/06 09:00 [medline]
PHST- 2006/01/26 09:00 [entrez]
AID - JST.JSTAGE/circj/70.179 [pii]
AID - 10.1253/circj.70.179 [doi]
PST - ppublish
SO  - Circ J. 2006 Feb;70(2):179-83. doi: 10.1253/circj.70.179.