Okada Yukikatsu, Nakai Takeo, Kitai Takeshi
Heart Valve Center, Midori Hospital, 1-16 Edayoshi Nishi-ku, Kobe 651-2133, Japan.
Heart Valve Center, Midori Hospital, 1-16 Edayoshi Nishi-ku, Kobe 651-2133, Japan.
Cardiol Clin. 2021 May;39(2):189-196. doi: 10.1016/j.ccl.2021.01.005.
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.
二尖瓣感染性心内膜炎（IE）手术的两个主要目标是彻底清除感染组织并重建心脏形态，包括修复或置换受累瓣膜。单中心系列研究表明，就住院死亡率和长期无事件生存率而言，二尖瓣修复术（MVrep）在二尖瓣IE治疗中优于瓣膜置换术。本文回顾了二尖瓣IE的MVrep的历史、相关修复技术细节及临床结果。
