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Published on: January 7, 2019
[Surgical treatment for infective endocarditis].
1Department of Cardiovascular Surgery, St. Luke's International Hospital, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 13, 2009
Summary
Valve repair is effective for mitral and tricuspid valve infective endocarditis (IE), even in active cases. Both mechanical valves and bioprostheses yield good outcomes for aortic valve replacement in IE.
Area of Science:
- Cardiac Surgery
- Infectious Diseases
- Valvular Heart Disease
Context:
- Surgery for infective endocarditis (IE) presents significant technical challenges, particularly in active infections.
- IE affects heart valves, necessitating surgical intervention to prevent complications.
Purpose:
- To evaluate the efficacy of valve repair and replacement in patients with infective endocarditis.
- To assess outcomes for aortic valve replacement (AVR) and mitral/tricuspid valve procedures in IE.
Summary:
- This study involved 21 patients (mean age 52.2 years) with active or healed IE, including cases of prosthetic valve endocarditis.
- Fifteen patients underwent mitral valve operations (13 repairs, 2 replacements), one had tricuspid valve repair, and six had AVR.
- Postoperative survival was 95.2% at 45 months, with significant reduction in mitral and tricuspid regurgitation.
Impact:
- Valve repair demonstrates utility in mitral and tricuspid valve IE, including active cases.
- Both mechanical valves and bioprostheses are associated with favorable results following AVR for IE.
- Surgical interventions for IE lead to improved survival and reduced valvular regurgitation.
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