Long-Term Outcome of Mitral Valve Repair for Infective Endocarditis

Shimokawa, Tomoki; Kasegawa, Hitoshi; Matsuyama, Shigefumi; Seki, Hiroshi; Manabe, Susumu; Fukui, Toshihiro; Morita, Satoshi; Takanashi, Shuichiro

doi:10.1016/j.athoracsur.2009.05.033

Cited by 28 publications

(12 citation statements)

References 18 publications

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“…Surgical mortality for infective endocarditis (IE), while declining in the last decades, stands out as an important cause of death in native or prosthetic valve interventions [1][2][3], justifying early diagnosis and appropriate antibiotic therapy as key points to the success of the treatment [4].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment for infective endocarditis and hospital mortality in a Brazilian single-center

Machado¹,

Nakazone²,

Murad-Júnior³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Section: Introductionmentioning

confidence: 99%

Surgical treatment for infective endocarditis and hospital mortality in a Brazilian single-center

Machado¹,

Nakazone²,

Murad-Júnior³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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“…Mitral valve endocarditis remains associated with poor short‐ and long‐term survival outcomes. Several studies have published the long‐term outcomes of surgical intervention for IE of the mitral valve; however, there is a lack of literature regarding the long‐term outcomes of both medically and surgically managed mitral valve IE. To our knowledge, this is the largest single‐centre report of mitral valve IE.…”

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes of mitral valve endocarditis: improved survival through collaborative management

Yaftian

Buratto

et al. 2020

ANZ Journal of Surgery

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Background: Infective endocarditis (IE) of the mitral valve is an illness associated with significant morbidity and mortality. We describe the long-term outcomes of mitral valve endocarditis at a single centre. Methods: All patients who presented with IE to the study institution between 2000 and 2015 were included. Data were obtained by retrospective review of the medical records. Results: There were 163 patients who presented with mitral valve IE. Mean age was 58 AE 16.8 years. A history of intravenous drug use was present in 18% (30/163) of patients. The most common infective agents were Staphylococcus aureus in 42% (69/163) (7% (5/69) were methicillin resistant), viridans Streptococus species in 15% (25/163) and Enterococcus faecalis in 10% (17/163). Surgery was performed in 29% (47/163) of patients. Hospital mortality was 23% (38/163). Survival was 71% (95% confidence interval (CI) 63.1-77.6%) at 1 year, 56% (95% CI 46.0-64.9%) at 5 years and 44% (95% CI 36.4-59.7%) at 10 years follow-up. There was no survival difference between medical and surgical management (P = 0.55). On multivariate Cox regression analysis, need for renal replacement therapy (P = 0.003) and increasing age (P = 0.014) were found to be risk factors while infectious diseases consult during index admission (P = 0.007) was found to be protective. Conclusion: Mitral valve endocarditis is associated with survival of <50% at 10 years follow-up. Surgical and medical management were associated with similar outcomes. Increasing age and need for renal replacement therapy were associated with mortality, and infectious diseases consultation was associated with improved survival.© 2020 Royal Australasian College of Surgeons ANZ J Surg 90 (2020) 757-761ANZJSurg.com

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“…Específicamente, la reparación de una perforación del velo anterior con un parche de pericardio ha demostrado excelentes resultados en cuanto a duración y tasa de éxi-to 11 , con bajos requerimientos de re-operación en el largo plazo (<8% a los 10 años de seguimiento). 12 Históricamente, el diagnóstico de una perforación valvular mitral mediante Eco 2D TT era un desafío y muchas veces el diagnóstico se realizaba en el intra-operatorio [13][14] . Sin embargo, gracias al desarrollo del ETE 2D y en especial gracias al ETE 3D el rendimiento de la técnica para diagnosticar dichas lesiones se aproximó a un 100%.…”

Section: Discussionunclassified

Reparación de una perforación valvular mitral como secuela de endocarditis, aporte de la ecocardiografía tridimensional

Vega

Córdova

Muñoz³

et al. 2016

Rev Chil Cardiol

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Long-Term Outcome of Mitral Valve Repair for Infective Endocarditis

Cited by 28 publications

References 18 publications

Surgical treatment for infective endocarditis and hospital mortality in a Brazilian single-center

Surgical treatment for infective endocarditis and hospital mortality in a Brazilian single-center

Long‐term outcomes of mitral valve endocarditis: improved survival through collaborative management

Reparación de una perforación valvular mitral como secuela de endocarditis, aporte de la ecocardiografía tridimensional

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