Materials and methods
We retrospectively analyzed the medical records of five patients (three
men, two women; mean age, 50.0 ± 13 years; age range, 37–63 years) who
underwent extensive mitral valve reconstruction with fresh autologous
pericardium and artificial chordae for treatment of destructive active
infective endocarditis of the mitral valve from January 2011 to December
2020 at our hospital. The patients’ preoperative demographic and
echocardiographic data are presented in Table 1. The mitral
regurgitation was severe in four patients and moderate in one. All
patients had good preoperative cardiac function (mean left ventricular
ejection fraction, 70% ± 5%) and a stable respiratory condition.