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Minimal access surgery for mitral valve endocarditis

Cristina Barbero1, Giovanni Marchetto1, Davide Ricci1

  • 1Department of Cardiovascular and Thoracic Surgery, University of Torino, Città della Salute e della Scienza-San Giovanni Battista Hospital 'Molinette', Torino, Italy.

Interactive Cardiovascular and Thoracic Surgery
|May 10, 2017
PubMed
Abstract

Insights

Minimal access mitral valve surgery (MVS) is effective for infective endocarditis (IE), showing good early and long-term outcomes. Careful patient selection and echocardiography are crucial for successful minimally invasive MVS in IE cases.

Area of Science:

  • Cardiovascular Surgery
  • Infective Diseases
  • Minimally Invasive Procedures

Background:

  • Minimal access mitral valve surgery (MVS) is established as safe and effective.
  • Limited data exists for MVS in complex cases like infective endocarditis (IE).

Purpose of the Study:

  • To evaluate the early and long-term results of minimally invasive MVS for patients with infective endocarditis.

Main Methods:

  • Retrospective analysis of 35 consecutive patients undergoing minimally invasive MVS for IE between January 2007 and April 2015.
  • Included native valve endocarditis and prosthesis endocarditis cases.
  • Surgical procedures involved mitral valve repair or replacement.

Main Results:

  • 30-day mortality was 11.4%.
  • Actuarial survival at 1 and 5 years was 83%.
  • Freedom from reoperation or IE recurrence at 1 and 5 years was 97%.

Conclusions:

  • Minimally invasive MVS for IE is feasible and yields favorable early and long-term outcomes.
  • Accurate preoperative patient selection and transesophageal echocardiography are essential for surgical planning.
Keywords:
Infective endocarditisMini-thoracotomyValve replacement

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