Key result
Mitral valve repair and replacement for active mitral endocarditis resulted in similar rates of operative mortality (4.0% vs. 8.6%, p=0.634) and composite morbidity (16.0% vs. 28.6%, p=0.357).
Why the study?
Does mitral valve repair improve outcomes compared to mitral valve replacement in patients with active mitral endocarditis?
Population
60 patients undergoing mitral valve repair or replacement for active mitral endocarditis during 2005-2011.
Comparison
Mitral valve repair vs Mitral valve replacement
Design
Cohort
Follow-up
3.9 ± 2.5 years
Authors
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Similar short-term outcomes support individualized repair in selected active mitral endocarditis cases; leaves open randomized confirmation of long-term benefit.
Cohort (n=60)
Does mitral valve repair improve outcomes compared to mitral valve replacement in patients with active mitral endocarditis?
Absolute Event Rate: 4% vs 8.6%
p-value: p=0.634
Mitral valve repair and replacement for active mitral endocarditis showed similar rates of operative mortality and morbidity, though replacement candidates had higher baseline risk.
Wang et al. (2014) conducted a cohort in active mitral endocarditis (n=60). Mitral valve repair vs. Mitral valve replacement was evaluated on Operative mortality (p=0.634). Mitral valve repair and replacement for active mitral endocarditis resulted in similar rates of operative mortality (4.0% vs. 8.6%, p=0.634) and composite morbidity (16.0% vs. 28.6%, p=0.357).
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