Cardiologia Croatica, Vol. 9 No. 7-8, 2014.
Other
https://doi.org/10.15836/ccar.2014.306
“Hinge” Mitral Valve Repair for Active Valve Endocarditis and Long-term Follow-up Transesophageal Echocardiography Study.
Gokhan Arslan
; Gulhane Military Medical Academy, Ankara, Turkey
Ibrahim Alp
; Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey
Murat Ugur
; Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey
Alper Ucak
; Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey
Ahmet Turan Yilmaz
; Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey
Abstract
Aims: Mitral valve treatment in valve endocarditis is currently a challenging issue. Repair is preferred to replacement but it often requires extensive debridement of vegetation and infected tissue as well as complex reconstruction in the active phase.
Methods: We report on a successful repair of the mitral valve, as described in the case of active endocarditis.
Results: Postoperative echocardiography demonstrated no regurgitation at the newly formed mitral valve.
Conclusion: First preference is pericardial repair, a technically difficult procedure but with satisfactory results in mitral repair for active endocarditis. Reconstruction of the mitral commissure with this
technique not only supports the opening of the commissural area but also helps regain the physiological motion of the mitral valve.
Keywords
mitral valve; endocarditis; surgical repair
Hrčak ID:
141143
URI
Publication date:
5.9.2014.
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