Key result
Mitral valve repair for IE is linked to similar survival but ~70% fewer recurrences versus replacement.
Why the study?
Successful surgical mitral valve repair in native mitral valve infective endocarditis remains challenging, prompting evaluation of patient characteristics and long-term outcomes.
Does surgical mitral valve repair improve outcomes compared to surgical valve replacement in patients with native mitral valve infective endocarditis?
Population
116 consecutive patients with native mitral valve endocarditis indicated for urgent or elective surgery
Comparison
Surgical mitral valve repair vs surgical valve replacement
Design
Retrospective cohort study
Follow-up
Median 5 years
Authors
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May support repair in selected native mitral IE; leaves open randomized confirmation of fewer recurrences versus replacement.
Does surgical mitral valve repair improve outcomes compared to surgical valve replacement in patients with native mitral valve infective endocarditis?
Mitral valve repair for native mitral valve infective endocarditis yields similar long-term survival to valve replacement but may be associated with fewer recurrences and complications.
Pidone et al. (2025) studied this question. Mitral valve repair in native infective endocarditis had similar 5-year survival (75% vs 77%) but fewer recurrences (3% vs 10%) and neurological complications versus replacement.
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