scholarly journals Mitral valve repair versus replacement for infective endocarditis, again

2019 ◽  
Vol 158 (2) ◽  
pp. e33-e34
Author(s):  
Manuel J. Antunes
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair

scholarly journals Corrigendum to: Outcomes of mitral valve repair in acute native mitral valve infective endocarditis [Interact CardioVasc Thorac Surg 2019; doi:10.1093/icvts/ivz187]

2019 ◽  
Vol 29 (5) ◽  
pp. 820-820
Author(s):  
Mohamed El Gabry ◽  
Zaki Haidari ◽  
Fanar Mourad ◽  
Janine Nowak ◽  
Konstantinos Tsagakis ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair

Active infective endocarditis after mitral valve repair

2010 ◽  
Vol 58 (1) ◽  
pp. 49-52
Author(s):  
Takashi Miura ◽  
Kiyoyuki Eishi ◽  
Koji Hashizume ◽  
Shinichiro Taniguchi ◽  
Kazuyoshi Tanigawa ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Active Infective Endocarditis

Outcomes of mitral valve repair in acute native mitral valve infective endocarditis

2019 ◽  
Vol 29 (6) ◽  
pp. 823-829 ◽  
Author(s):  
Mohamed El Gabry ◽  
Zaki Haidari ◽  
Fanar Mourad ◽  
Janine Nowak ◽  
Konstantinos Tsagakis ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Limited Resection ◽  
Long Term Results ◽  
Valve Repair ◽  
Direct Closure ◽  
Complex Procedure ◽  
Hospital Stays

AbstractOBJECTIVESMitral valve repair (MVR) is considered the treatment of choice for mitral valve (MV) regurgitation. However, MVR in acute native MV infective endocarditis is technically challenging and not commonly performed. Our goal was to report our outcomes of MVR in acute native MV infective endocarditis.METHODSBetween January 2016 and December 2017, 35 patients presenting with acute native MV infective endocarditis underwent MVR. Primary end points were successful MVR and freedom from recurrent endocarditis. Secondary end point was the postoperative incidence of major adverse events.RESULTSThe mean age was 58 ± 13 years (74% men) and the median logistic EuroSCORE was 17.1%. Twenty patients underwent isolated MVR; the other 15 patients underwent concomitant procedures. MVR was performed with removal of the vegetation (vegectomy), limited resection of the infected tissue, direct closure of the defect, besides annuloplasty in all patients. Mean intensive care and hospital stays were 5 and 17 days, respectively. All-cause mortality was 11% (4/35) at 30 days and a total of 23% (8/35) within a follow-up period of 10 ± 7.7 months. Endocarditis recurred in 2 patients 15 and 8 months after surgery, respectively. Both underwent successful MV re-repair. Follow-up echocardiography indicated none-to-trace, mild or moderate regurgitation in 15, 10 and 2 patients, respectively.CONCLUSIONSAlthough MVR in acute native MV infective endocarditis is a complex procedure, it offers a treatment option for such patients with acceptable short-term results. Limited resection in addition to annuloplasty is our preferred method of repair. Nevertheless, long-term results in a larger cohort are still mandatory.

scholarly journals Mitral valve repair for infective endocarditis: Kobe experience

2020 ◽  
Vol 28 (7) ◽  
pp. 384-389
Author(s):  
Yukikatsu Okada ◽  
Takeo Nakai ◽  
Takashi Muro ◽  
Hisato Ito ◽  
Yu Shomura
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Event Free Survival ◽  
Valve Repair ◽  
Free Survival ◽  
Autologous Pericardium ◽  
Ring Annuloplasty ◽  
Group A ◽  
Group B

Objectives We retrospectively analyzed our experience of mitral valve repair for native mitral valve endocarditis in a single institution. Methods From January 1991 to October 2011, 171 consecutive patients underwent surgery for infective endocarditis. Of these, 147 (86%) had mitral valve repair. At the time of surgery, 98 patients had healed (group A) and 49 had active infective endocarditis (group B). Repair procedures included resection of all infected tissue and thick restricted post-infection tissue, leaflet and annulus reconstruction with treated autologous pericardium, chordal reconstruction with polytetrafluoroethylene sutures, and ring annuloplasty if necessary. Fifty-two (35%) patients required concomitant procedures. The study endpoints were overall survival, freedom from reoperation, and freedom from valve-related events. The median follow-up was 78 months. Results There was one hospital death (hospital mortality 0.7%). Survival at 10 years was 88.5% ± 3.5% with no significant difference between the two groups ( p = 0.052). Early reoperation was required in 4 patients in group B due to persistent infection or procedure failure. Freedom from reoperation at 5 years was 99% ± 1.0% in group A and 89.6 ± 4.0% in group B ( p = 0.024). Event-free survival at 10 years was 79.3% ± 4.8% (group A: 83.4% ± 5.9%, group B: 72.6% ± 6.9%, p = 0.010). Conclusions Mitral valve repair was highly successful using autologous pericardium, chordal reconstruction, and ring annuloplasty if required. Long-term results were acceptable in terms survival, freedom from reoperation, and event-free survival. Mitral valve repair is recommended for mitral infective endocarditis in most patients.

Combined aortic and mitral valve repair in active infective endocarditis

2005 ◽  
Vol 53 (7) ◽  
pp. 372-376 ◽  
Author(s):  
Hiroichiro Yamaguchi ◽  
Kiyoyuki Eishi ◽  
Shiro Yamachika ◽  
Kazuyoshi Tanigawa ◽  
Kenta Izumi ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Active Infective Endocarditis

Mitral Valve Repair for Infective Endocarditis in Children

2007 ◽  
Vol 84 (6) ◽  
pp. 2059-2065 ◽  
Author(s):  
Eva Maria Delmo Walter ◽  
Michele Musci ◽  
Nicole Nagdyman ◽  
Michael Hübler ◽  
Felix Berger ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair

scholarly journals Case Report: Living on the Edge—Transcatheter Mitral Valve Repair Related Infective Endocarditis

2022 ◽  
Vol 8 ◽  
Author(s):  
Nicole Lewandowski ◽  
Ehssan Berenjkoub ◽  
Eduard Gorr ◽  
Marc Horlitz ◽  
Peter Boekstegers ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Tract Infection ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Transcatheter Mitral Valve Repair ◽  
Antibiotic Regime

Background: Infective endocarditis (IE) following mitral valve edge-to-edge repair is a rare complication with high mortality.Case summary: A 91-year-old male patient was admitted to intensive care unit with sepsis due to urinary tract infection after insertion of a urinary catheter by the outpatient urologist. Two weeks ago, the patient was discharged from hospital after successful transcatheter edge-to-edge mitral valve repair (TEER) using a PASCAL Ace device. The initially withdrawn blood revealed repeatedly Proteus mirabilis bacteremia as causal for the sepsis due to urinary tract infection. An antibiotic regime with Ampicillin/Sulbactam was initiated and discontinued after 7 days. During the clinical course the patient again developed fever and blood cultures again revealed P. mirabilis. In transesophageal echocardiography (TOE), IE of the PASCAL Ace device was confirmed by a vegetation accompanied by a mild to moderate mitral regurgitation. While the patient was stable at this time and deemed not suitable for cardiac surgery, the endocarditis team made a decision toward a prolonged 6-week antibiotic regime with an antibiotic combination of Ampicillin 2 g qds and Ciprofloxacin 750 mg td. Due to posterior leaflet perforation severe mitral regurgitation developed while PASCAL Ace vegetations were significantly reduced by the antibiotic therapy. Therefore, the patient underwent successful endoscopic mitral valve replacement. Another 4 weeks of antibiotic treatment with Ampicillin 2 g qds followed before the patient was discharged.Discussion:P. mirabilis is able to form biofilms, resulting in a high risk for endocarditis following transcatheter mitral valve repair especially when device endothelization is incomplete. Endoscopic mitral valve replacement could serve as a bailout strategy in refractory Clip-endocarditis.

Severity score for mitral valve repair in active stage infective endocarditis

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
T. Omoto ◽  
A. Aoki ◽  
K. Maruta ◽  
S. Sakurai ◽  
H. Iizuka ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Severity Score ◽  
Valve Repair ◽  
Active Stage
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