Mitral valve repair in infective endocarditis is not inferior to valve replacement: results from a Spanish nationwide prospective registry
Autores de IDIVAL
Autores ajenos al IDIVAL
- Cuerpo, GP
- Valerio, M
- Pedraz, A
- Rodriguez-Abella, H
- Mestres, CA
- Obrador, EQ
- Gonzalez-Calle, A
- Alvarez, RR
- Garcia, PM
- Bouza, E
- Sanchez, FF
- Noureddine, M
- Rosas, G
- Lima, JD
- Aramendi, J
- Bereciartua, E
- Blanco, MJ
- Blanco, R
- Boado, MV
- Lazaro, MC
- Crespo, A
- Goikoetxea, J
- Iruretagoyena, JR
- Zuazabal, JI
- Lopez-Soria, L
- Montejo, M
- Nieto, J
- Rodrigo, D
- Rodriguez, D
- Rodriguez, R
- Vitoria, Y
- Voces, R
- Lopez, MVG
- Georgieva, RI
- Ojeda, G
- Bailon, IR
- Morales, JR
- Cuende, AM
- Echeverria, T
- Fuerte, A
- Gaminde, E
- Goenaga, MA
- Idigoras, P
- Iribarren, JA
- Yarza, AI
- Urkola, XK
- Reviejo, C
- Carrasco, R
- Climent, V
- Llamas, P
- Merino, E
- Plazas, J
- Reus, S
- Alvarez, N
- Bravo-Ferrer, JM
- Castelo, L
- Cuenca, J
- Llinares, P
- Rey, EM
- Mayo, MR
- Sanchez, E
- Regueiro, DS
- Martinez, FJ
- Alonso, MD
- Castro, B
- Rosado, DG
- Duran, MD
- Gomez, MAM
- Lacalzada, J
- Nassar, I
- Ciezar, AP
- Iglesias, JMR
- Alvarez, VA
- Costas, C
- de la Hera, J
- Suarez, JF
- Fraile, LI
- Arguero, VL
- Menendez, JL
- Bajo, PM
- Morales, C
- Torrico, AM
- Palomo, C
- Martinez, BP
- Esteban, AR
- Garcia, RR
- Asensio, MT
- Almela, M
- Ambrosioni, J
- Azqueta, M
- Brunet, M
- Bodro, M
- Cartana, R
- Falces, C
- Fita, G
- Fuster, D
- de la Maria, CG
- Hernandez-Meneses, M
- Perez, JL
- Marco, F
- Miro, JM
- Moreno, A
- Nicolas, D
- Ninot, S
- Quintana, E
- Pare, C
- Pereda, D
- Pericas, JM
- Pomar, JL
- Ramirez, J
- Rovira, I
- Sandoval, E
- Sitges, M
- Soy, D
- Tellez, A
- Tolosana, JM
- Vidal, B
- Vila, J
- Adan, I
- Bermejo, J
- Celemin, D
- Caballero, GC
- Pinto, AG
- Montero, AD
- Cruz, AF
- Mansilla, AG
- Leoni, MEG
- Ramallo, VG
- Hernandez, MK
- Hualde, AM
- Marin, M
- Martinez-Selles, M
- Menarguez, MC
- Munoz, P
- Rincon, C
- Rodriguez-Abella, H
- Rodriguez-Creixems, M
- Pinilla, B
- Pinto, A
- Valerio, M
- Vazquez, P
- Moreno, EV
- Antorrena, I
- Loeches, B
- Quiros, AM
- Moreno, M
- Ramirez, U
- Baston, VR
- Romero, M
- Saldana, A
- Dominguez, F
- Pavia, PG
- Gonzalez, J
- Orden, B
- Ramos, A
- Centella, T
- Hermida, JM
- Moya, JL
- Martin-Davila, P
- Navas, E
- Oliva, E
- del Rio, A
- Ruiz, S
- Tenorio, CH
- Delia, MA
- Araji, O
- Barquero, JM
- Jambrina, RC
- de Cueto, M
- Acebal, JG
- Mendez, I
- Morales, I
- Lopez-Cortes, LE
- de Alarcon, A
- Garcia, E
- Haro, JL
- Lepe, JA
- Lopez, F
- Luque, R
- Alonso, LJ
- Azcarate, P
- Gutierrez, JMA
- Blanco, JR
- Villegas, AC
- Garcia-Alvarez, L
- Oteo, JA
- Sanz, M
- de Benito, N
- Gurgui, M
- Pacho, C
- Pericas, R
- Pons, G
- Alvarez, M
- Fernandez, AL
- Martinez, A
- Prieto, A
- Regueiro, B
- Tijeira, E
- Vega, M
- Blasco, AC
- Mollar, JC
- Arana, JCG
- Uriarte, OG
- Lopez, AM
- de Zarate, ZO
- Matos, JAU
- Dominguez, GG
- Sanchez-Porto, A
- Leal, JMA
- Vazquez, EG
- Torres, AH
- Blazquez, A
- Valenzuela, GD
- Alonso, A
- Aramburu, J
- Calvo, FE
- Rodriguez, AM
- Tarabini-Castellani, P
- Galvez, EH
- Bellido, CM
- Pau, JL
- Sepulveda, MA
- Sierra, PT
- Iqbal-Mirza, SZ
- Alcolea, EC
- Yanez, IK
- Ballesta, AP
- Escobar, EM
- Monje, AP
- Cabrera, VS
- Garcia, DV
- Asenjo, MA
- Luna, CC
- Morcillo, JN
- Seco, MCP
- Gelabert, AV
- Guallar, CA
- Abad, NF
- Mangas, PG
- Adell, MM
- Ruiz, MPP
- Porres, JC
- Vidal, BA
- Trigueros, NC
- Espin, MJD
- Caro, JAG
- Sanchez, RJ
- Almazan, AJ
- Freire, AO
- Gonzalez, MV
- Ramis, PP
- Blanco, MAR
- Bordes, ERD
- Bonet, LV
- Munera, MCH
- Garaizabal, EE
- Martinez, AT
- Luque, JCS
- GAMEs Study Grp
Unidades
Abstract
IntroductionInfective endocarditis (IE) still carries high morbidity and mortality and frequently requires surgery. The benefit of mitral valve repair (MVr) in the setting of IE is yet to be proven. The goal of this study was to assess the results of MVr in patients with IE after a minimum follow-up of 1year.MethodsThis study is based on a Spanish nationwide prospective registry that included patients operated on for native mitral valve IE. The collaborating Institutions pooled their pre-, peri-, and postoperative data into the database of the GAMES group [Grupo de Apoyo al Manejo de la EndocarditiS (Group for support and management of infective endocarditis)].ResultsData from 27 hospitals were recorded and 3524 cases of active IE identified between 2008 and 2016. There were 1513 cases of mitral IE, of which 898 involved native valves. Of these, 437 patients underwent surgical treatment, and 369 completed the 1-year follow-up. The valve was repaired in 68 cases (18.4%). Preoperative groups were comparable (EuroSCORE MVr 7.7 vs MVR 8.0; p=ns). Mortality in the repair group was inferior to that in the replacement group (16.2% vs 27.2%, p=0.058). At 1year, mortality remained higher in the replacement group: 3.7% vs 2.9%. Relapse of the infection was slightly more frequent in the repair group (7.1% vs 3.7%; p=ns), although this did not lead to higher rates of reintervention (MVr/MVR: 2.9% vs 4.9%).ConclusionMVr is an attractive option for specific patients with IE and does not seem to negatively impact on relapses.
Datos de la publicación
- ISSN/ISSNe:
- 1863-6705, 1863-6713
- Tipo:
- Article
- Páginas:
- 585-593
- PubMed:
- 30666586
General Thoracic and Cardiovascular Surgery SPRINGER JAPAN KK
Citas Recibidas en Web of Science: 13
Documentos
- No hay documentos
Filiaciones
Keywords
- Cardiac surgery; Infectious endocarditis; Mitral valve reparation; Mitral valve replacement
Campos de Estudio
Cita
Cuerpo GP, Valerio M, Pedraz A, Rodriguez H, Mestres CA, Obrador EQ, Gonzalez A, Alvarez RR, Garcia PM, Bouza E, Sanchez FF, Noureddine M, Rosas G, Lima JD, Aramendi J, Bereciartua E, Blanco MJ, Blanco R, Boado MV, Lazaro MC, Crespo A, Goikoetxea J, Iruretagoyena JR, Zuazabal JI, Lopez L, Montejo M, Nieto J, Rodrigo D, Rodriguez D, Rodriguez R, Vitoria Y, Voces R, Lopez MVG, Georgieva RI, Ojeda G, Bailon IR, Morales JR, Cuende AM, Echeverria T, Fuerte A, Gaminde E, Goenaga MA, Idigoras P, Iribarren JA, Yarza AI, Urkola XK, Reviejo C, Carrasco R, Climent V, Llamas P, Merino E, Plazas J, Reus S, Alvarez N, Bravo JM, Castelo L, Cuenca J, Llinares P, Rey EM, Mayo MR, Sanchez E, Regueiro DS, Martinez FJ, Alonso MD, Castro B, Rosado DG, Duran MD, Gomez M, Lacalzada J, Nassar I, Ciezar AP, Iglesias JMR, Alvarez VA, Costas C, de la Hera J, Suarez JF, Fraile LI, Arguero VL, Menendez JL, PM, Morales C, Torrico AM, Palomo C, Martinez BP, Esteban AR, Garcia RR, Asensio MT, Almela M, Ambrosioni J, Azqueta M, Brunet M, Bodro M, Cartana R, Falces C, Fita G, Fuster D, de la Maria CG, Hernandez M, Perez JL, Marco F, Miro JM, Moreno A, Nicolas D, Ninot S, Quintana E, Pare C, Pereda D, Pericas JM, Pomar JL, Ramirez J, Rovira I, Sandoval E, Sitges M, Soy D, Tellez A, Tolosana JM, Vidal B, Vila J, Adan I, Bermejo J, Celemin D, Caballero GC, Pinto AG, Montero AD, Cruz AF, Mansilla AG, Leoni M, Ramallo VG, Hernandez MK, Hualde AM, Marin M, Martinez M, Menarguez MC, Munoz P, Rincon C, Rodriguez H, Rodriguez M, Pinilla B, Pinto A, Valerio M, Vazquez P, Moreno EV, Antorrena I, Loeches B, Quiros AM, Moreno M, Ramirez U, Baston VR, Romero M, Saldana A, Balbin JA, Castillo CA, Arnaiz A, Revillas FA, Belaustegui MC, Fariñas MC, Farinas C, Izquierdo RG, Garcia I, Rico CG, Gutierrez M, Diez JG, Pajaron M, Parra JA, Teira R, Zarauza J, Dominguez F, Pavia PG, Gonzalez J, Orden B, Ramos A, Centella T, Hermida JM, Moya JL, Martin P, Navas E, Oliva E, del Rio A, Ruiz S, Tenorio CH, Delia MA, Araji O, Barquero JM, Jambrina RC, de Cueto M, Acebal JG, Mendez I, Morales I, Lopez LE, de Alarcon A, Garcia E, Haro JL, Lepe JA, Lopez F, Luque R, Alonso LJ, Azcarate P, Gutierrez J, Blanco JR, Villegas AC, Garcia L, Oteo JA, Sanz M, de Benito N, Gurgui M, Pacho C, Pericas R, Pons G, Alvarez M, Fernandez AL, Martinez A, Prieto A, Regueiro B, Tijeira E, Vega M, Blasco AC, Mollar JC, Arana JCG, Uriarte OG, Lopez AM, de Zarate ZO, Matos J, Dominguez GG, Sanchez A, Leal J, Vazquez EG, Torres AH, Blazquez A, Valenzuela GD, Alonso A, Aramburu J, Calvo FE, Rodriguez AM, Tarabini P, Galvez EH, Bellido CM, Pau JL, Sepulveda MA, Sierra PT, Iqbal SZ, Alcolea EC, Yanez IK, Ballesta AP, Escobar EM, Monje AP, Cabrera VS, Garcia DV, Asenjo MA, Luna CC, Morcillo JN, Seco MCP, Gelabert AV, Guallar CA, Abad NF, Mangas PG, Adell MM, Ruiz MPP, Porres JC, Vidal BA, Trigueros NC, Espin MJD, Caro J, Sanchez RJ, Almazan AJ, Freire AO, Gonzalez MV, Ramis PP, Blanco M, Bordes E, Bonet LV, Munera MCH, Garaizabal EE, Martinez AT, Luque JCS, GAMEs GRP. Mitral valve repair in infective endocarditis is not inferior to valve replacement: results from a Spanish nationwide prospective registry. Gen. Thorac. Cardiovasc. Surg. 2019. 67. (7):p. 585-593. IF:1,219. (3).
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