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Double valve endocarditis.

A M Gillinov1, R Diaz, E H Blackstone

  • 1Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA. gillinom@ccf.org

The Annals of Thoracic Surgery
|June 28, 2001
PubMed
Summary

Surgical outcomes for native valve endocarditis affecting both aortic and mitral valves show no hospital deaths and good long-term survival. Recurrent endocarditis risk decreases significantly after three months post-surgery.

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Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Valvular Heart Disease

Background:

  • Limited data exists on surgical outcomes for native valve endocarditis involving both aortic and mitral valves.
  • Native valve endocarditis (NVE) is a serious condition requiring prompt surgical intervention.

Purpose of the Study:

  • To evaluate surgical outcomes and long-term results for patients with NVE affecting both the aortic and mitral valves.

Main Methods:

  • A retrospective analysis of 54 patients undergoing simultaneous aortic and mitral valve surgery for NVE between 1977 and 1998.
  • Surgical approaches included valve repair and replacement with various prostheses.
  • Follow-up data over 325 patient-years were collected.

Main Results:

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  • No hospital mortality was observed.
  • Ten-year survival reached 73%, with 84% freedom from recurrent endocarditis.
  • The anterior mitral leaflet was the most common site of involvement, suggesting aortic valve jet lesions.

Conclusions:

  • Simultaneous aortic and mitral valve surgery for NVE yields favorable long-term survival and reinfection rates comparable to single valve endocarditis.
  • Jet lesions on the anterior mitral leaflet are a common pattern in double valve NVE.