Many authors have reported their results of mitral valve (MV) repair1,2
in acute and healed endocarditis. However, the results published from
different authors highlight the fact that the reparability rate for this
indication remains low. Over the last 3 decades our group has adopted an
early and repair-oriented approach to the infective endocarditis with
the objective to improve the repair rate and the long-term results.
In this paper we describe our institutional experience
on mitral valve repair for infective endocarditis. Data for
this paper were extracted from our institutional database on heart valve
disease. From 1991 to 2015, 160 consecutive patients in our institution
underwent MV surgery for active IE on native MV. The median follow-up
was 122 months. This study was approved by the institutional ethics
review board, and written informed consent was waived for this study
given its retrospective design. Hospital mortality was 11.6 % (n = 18).
Early MV reoperation before hospital discharge was required in 5 (3.1%)
patients. At 5, 10 and 15 years, overall survival in the MVr for
endocarditis in group was 79 ± 4%, 65 ± 5%, 57 ± 6%, respectively.
Freedom from reoperation at 5, 10 and 15 years was 95 ± 2%, 88 ± 4%
and 81 ± 6%, respectively. Mitral infective endocarditis is an
insidious pathology and his surgical approach can be challenging. An
early and repair-oriented surgical approach can allow to improve
reparability rates with good long-term durability and a low recurrence
rate of endocarditis.