Key result
Valve repair for native active endocarditis was associated with better long-term survival than replacement, with one study showing 88% vs 65% survival at 4 years (P=0.047).
Why the study?
Does valve repair improve survival and reduce morbidity compared to valve replacement in patients with native active valve endocarditis?
Population
Patients with native active valve endocarditis (7 studies included)
Comparison
Valve repair (mitral or aortic) vs Valve replacement
Design
Systematic_review
Follow-up
up to 10 years
Authors
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May support preferring repair over replacement when feasible in native endocarditis; extends observational synthesis but leaves randomized confirmation needed.
Systematic Review
Does valve repair improve survival and reduce morbidity compared to valve replacement in patients with native active valve endocarditis?
Valve repair appears to offer better long-term survival and morbidity outcomes compared to valve replacement in patients with native active valve endocarditis.
Dong et al. (2014) conducted a systematic review in Native active valve endocarditis. Valve repair vs. Valve replacement was evaluated on Morbidity and mortality. Valve repair for native active endocarditis was associated with better long-term survival than replacement, with one study showing 88% vs 65% survival at 4 years (P=0.047).
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