ArticleCureus2025
Influence of the Severity of Infective Endocarditis on Long-Term Outcomes After Mitral Valve Surgery.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPrevious studies have demonstrated the advantages of mitral valve repair (MVP) in infective endocarditis (IE) in early and late outcomes. However, the influence of complexity in mitral valve surgery on long-term outcome is unclear. The purpose of this study was to clarify whether the severity of IE affects long-term outcome. METHODOLOGY: Fifty-one patients who underwent mitral valve surgery during the active phase of native IE were retrospectively reviewed. Severity score was used as an index for the severity of IE. Severity score assigns a score derived from two aspects: (1) the extent of valvular destruction and (2) technical difficulties for predicting the feasibility of MVP reported by our previous studies. Patient profile, long-term survival, and freedom from recurrence of mitral regurgitation (MR) were compared between those with a severity score of 7 or less (
resultsBody weight was lower and body surface area was smaller in
conclusionsSeverity of IE is associated with long-term outcome. Patients with low severity have high feasibility of MVP, low risks of reoperation, and good long-term survival. In patients with high severity, the indication for complex repair should be considered, taking age and future redo surgery into consideration.
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