Role of Mitral Valve Repair for Mitral Infective Endocarditis

Yukikatsu Okada; Takeo Nakai; Takeshi Kitai

doi:10.1016/j.ccl.2021.01.005

Role of Mitral Valve Repair for Mitral Infective Endocarditis

Cardiol Clin. 2021 May;39(2):189-196. doi: 10.1016/j.ccl.2021.01.005.

Authors

Yukikatsu Okada¹, Takeo Nakai², Takeshi Kitai³

Affiliations

¹ Heart Valve Center, Midori Hospital, 1-16 Edayoshi Nishi-ku, Kobe 651-2133, Japan. Electronic address: yukikatsuok@gmail.com.
² Heart Valve Center, Midori Hospital, 1-16 Edayoshi Nishi-ku, Kobe 651-2133, Japan.
³ Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi Chuo-ku, Kobe 650-0047, Japan.

PMID: 33894933
DOI: 10.1016/j.ccl.2021.01.005

Abstract

The 2 primary objectives of surgery in mitral valve infective endocarditis (IE) are total removal of the infected tissue and reconstruction of cardiac morphology, including repair or replacement of the affected valve. Single-institution series have suggested the feasibility and effectiveness of mitral valve repair (MVrep) over replacement in mitral IE in terms of in-hospital mortality and long-term event-free survival. This article reviews the history, details of the relevant repair techniques, and clinical results of MVrep for mitral IE.

Keywords: Autologous pericardium; Mitral valve infective endocarditis; Mitral valve repair; Mitral valve replacement; Ring annuloplasty.

Publication types

Review

MeSH terms

Cardiac Surgical Procedures*
Endocarditis* / surgery
Endocarditis, Bacterial* / surgery
Heart Valve Prosthesis Implantation*
Humans
Mitral Valve / diagnostic imaging
Mitral Valve / surgery
Mitral Valve Insufficiency* / surgery
Treatment Outcome