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Published on: February 17, 2018
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Minimally Invasive Surgery in Mitral Valve Endocarditis.
Felix Fleißner1,2, Jawad Salman1, Jamshid Naqizadah1
1Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
The Thoracic and Cardiovascular Surgeon
|November 1, 2018
Summary
Minimally invasive mitral valve surgery (MIMVS) is a safe and effective treatment for endocarditis, showing low complication rates and no wound infections. This approach should be encouraged for eligible patients.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Minimally Invasive Techniques
Background:
- Minimally invasive mitral valve surgery (MIMVS) is preferred for reducing surgical damage.
- MIMVS presents technical challenges, particularly in endocarditis cases.
- Limited data exists on MIMVS outcomes for endocarditis.
Purpose of the Study:
- To evaluate the outcomes of MIMVS in patients with mitral valve endocarditis.
- To assess the feasibility and safety of MIMVS in this specific patient group.
Main Methods:
- Retrospective analysis of 420 MIMVS procedures performed between January 2011 and July 2017.
- Focus on 44 patients (10%) who underwent MIMVS for endocarditis.
- Data collected included patient demographics, Euroscore II, operative times, and outcomes.
Main Results:
- The study included 44 patients with a mean age of 55 years; 18 (41%) were male.
- Overall in-hospital mortality was 7% (3 patients), with no cases of apoplexy.
- Eleven percent (5 patients) required reoperation for bleeding; 7% (3 patients) needed new dialysis. No superficial wound infections occurred.
Conclusions:
- MIMVS can be performed with acceptable outcomes and low perioperative morbidity in mitral valve endocarditis patients.
- The absence of postoperative wound infections and a low rate of endocarditis recurrence support the use of MIMVS.
- MIMVS should be encouraged as an eligible approach for most mitral valve endocarditis cases.
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