Heart. Published Online First: 10 October 2005. doi:10.1136/hrt.2005.070581
Editorials |
Mitral valve reconstruction in the presence of infection
1 Southampton General Hospital, United Kingdom
* To whom correspondence should be addressed. E-mail: steve.livesey{at}suht.swest.nhs.uk.
Accepted 3 August 2005
Abstract
The application of techniques of mitral valve reconstruction to the surgical treatment of patients with active endocarditis is appealing. The first principle of the surgery of any infective process is to excise or drain the infected area; the second is to avoid the use of prosthetic materials. Both of these surgical principles have to be compromised on occasions in the surgery of endocarditis - but valve reconstruction is closer to the ideal, and as several reports have shown, such an approach can produce good outcomes for patients.
Keywords: endocarditis, mitral valve reconstruction, mitral valve repair
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