Reparación valvular en la endocarditis mitral Garzón Furné, Ana I. Ferreiro Marzal, Andrea Rodríguez Serrano, Fernando Esteban Molina, María García Orta, Rocío Moreno Escobar, Eduardo Sevilla Martínez, María Gómez Luque, José María Ocete Hita, Esther Rodríguez Vázquez del Rey, María del Mar Nuila Durán, Luis M. Garrido, José M. Endocarditis infecciosa Neocuerdas Reconstrucción valvular Reemplazo valvular Reparación mitral Infective endocarditis Neochords Valve reconstruction Valve replacement Mitral repair Introduction: Infective endocarditis (IE) is a pathology with a high morbidity and mortality rate andrepresents a growing public health problem. Surgical treatment is necessary in more than half of thecases, and its main purpose is to completely remove the infected tissue and reconstruct normal cardiacanatomy, including repair or replacement of the affected valve(s).Objectives and methods: The present study focuses on describing the most appropriate procedure formitral repair surgery in cases of IE, based on the literature and the extensive experience gained by thesurgical team. Likewise, we have compiled through a systematic search of the literature the results thathave been reported on reparative surgery compared to mitral valve replacement Results: The surgical technique described requires a thorough study of the degree of involvement anddestructuring of the different valve segments. We consider resection with pericardial patch interpositionand/or Goretex®neochord implantation to be the standard technique that allows reproducible results. Thestructured review of the available scientific evidence verifies the safety of mitral repair for the treatmentof IE, providing significant benefits compared to valve replacement.Conclusion: The evaluated surgical results suggest that mitral repair surgery should be considered theprocedure of choice for the surgical treatment of IE, whenever technically feasible 2023-10-27T09:29:26Z 2023-10-27T09:29:26Z 2023-07 info:eu-repo/semantics/article A.I. Garzón-Furné, A. Ferreiro-Marzal, F. Rodríguez-Serrano et al. Reparación valvular en la endocarditis mitral. Cirugía Cardiovascular 30 (2023) S28–S33[https://doi.org/10.1016/j.circv.2022.09.005] https://hdl.handle.net/10481/85300 10.1016/j.circv.2022.09.005 spa http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional Elsevier