Hu Yu-Ning, Wan Song
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.
Surg Today. 2018 Oct;48(10):899-908. doi: 10.1007/s00595-018-1637-8. Epub 2018 Feb 21.
Infective endocarditis (IE) is associated with high mortality and morbidity and requires surgical intervention in about half of all patients. Mitral valve repair (MVrep) is reported to achieve better results than mitral valve replacement because the insertion of a prosthesis during active infection is avoided. However, MVrep in active IE is complicated and no definitive guidelines have been compiled. The current study reviews the literature from 2000 to 2016 and summarizes the surgical details of MVrep for IE.
感染性心内膜炎（IE）与高死亡率和高发病率相关，约半数患者需要手术干预。据报道，二尖瓣修复术（MVrep）比二尖瓣置换术效果更好，因为避免了在活动性感染期间植入人工瓣膜。然而，活动性IE患者的MVrep手术复杂，尚未编制明确的指南。本研究回顾了2000年至2016年的文献，并总结了IE患者MVrep的手术细节。
