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首页> 外文期刊>Circulation journal >Long-Term Outcomes of Mitral Valve Repair for Active Endocarditis
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Long-Term Outcomes of Mitral Valve Repair for Active Endocarditis

机译：二尖瓣修复活动性心内膜炎的长期结果

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Background: The long-term outcomes of mitral valve (MV) repair for active infective endocarditis (AE) are not well known, so the present study examined results from >5 years. Methods?and?Results: We retrospectively reviewed 43 patients who underwent primary MV repair for AE at a single center between 1991 and 2009. Patients’ mean age was 50.9 years, and 39% were female. The mean follow-up was 7.4 years, and 90.7% of the patients had serial echocardiographic studies over the years. We examined the data for mortality, mitral reoperation, and recurrent significant mitral regurgitation (MR). There were no early deaths but 6 late deaths. Survival was 92.6±4.1% for 5 years, and 83.5±7.3% for 10 years. The respective 5- and 10-year rates of freedom from MV reoperation were 90.5±4.5% and 86.6±5.8%, and for freedom from moderate or severe MR were 95.0±3.5 and 86.1±6.7%. Recurrence of endocarditis was observed in 2 patients (4.7%). Most (86%) of the survivors were in New York Heart Association class I. Conclusions: MV repair for AE is durable and offers acceptable long-term outcomes with low rates of recurrence and reoperation. ( Circ J 2016; 80: 1148–1152)
机译：背景：二尖瓣（MV）修复活动性感染性心内膜炎（AE）的长期结果尚不清楚，因此，本研究检查了> 5年的结果。方法和结果：我们回顾性分析了1991年至2009年间在单个中心接受过MV一次AE初次MV修复的43例患者。患者的平均年龄为50.9岁，其中39％为女性。平均随访时间为7.4年，这些年中90.7％的患者接受了连续超声心动图检查。我们检查了死亡率，二尖瓣再手术和复发性二尖瓣反流（MR）的数据。没有早期死亡，但有6个晚期死亡。 5年生存率为92.6±4.1％，10年生存率为83.5±7.3％。 MV再手术的5年和10年自由度分别为90.5±4.5％和86.6±5.8％，中度或重度MR的自由度分别为95.0±3.5和86.1±6.7％。 2例患者（4.7％）观察到心内膜炎复发。大多数幸存者（86％）在纽约心脏协会I级研究中。结论：AE的MV修复是持久的，可提供可接受的长期结果，复发和再手术率低。 （Circ J 2016; 80：1148–1152）

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