@article{oai:shiga-med.repo.nii.ac.jp:00003659,
 author = {榎本, 匡秀 and 鈴木, 友彰 and 木下, 武 and 高島, 範之 and 南舘, 直志 and WAKISAKA, Hodaka and 脇坂, 穂高 and 浅井, 徹 and ENOMOTO, Masahide and SUZUKI, Tomoaki and KINOSHITA, Takeshi and TAKASHIMA, Noriyuki and MINAMIDATE, Naoshi and LEE, Junghun and WAKISAKA, Hodaka and 脇坂, 穂高 and ASAI, Tohru},
 journal = {General thoracic and cardiovascular surgery},
 month = {Aug},
 note = {Objective:
The aim of this study was to evaluate our surgical treatment outcomes of active infective endocarditis (IE) of mitral valve in relation to the patients' complexity scores., Methods:
We reviewed 51 patients who underwent surgical treatment for active IE on the mitral valve, in our hospital between September 2002 and November 2016. We adapted a complexity scoring scale to describe the range of parts suffering vegetation and damage, assigning the following weighting: weight 1 for each posterior segment; weight 2 for each anterior segment, commissural segment, left atrium, or left ventricle; weight 3 if the annulus was involved or if pathology extended to a prior mitral operation site. A total of 51 patients were identified and categorized by complexity score into two groups: 1-2: Simple (n = 19); ≥ 3: Complex (n = 32)., Results:
MV repair was achieved in 18 patients (95%) in the Simple group and 26 patients (81%) in the Complex group. In the Complex there were 2 in-hospital deaths (6%). There were none in the Simple. The 5-year survival rates were 100% in the Simple and 79.6% in the Complex (P < 0.05). The 5-year rates of freedom from mitral regurgitation were 77.8% in the Simple and 91.5% in the Complex (P = 0.63). The 5-year rates of freedom from recurrence of IE were 93.3% in the Simple and 92.2% in the Complex (P = 0.76)., Conclusions:
We found consistent outcomes in terms of recurrent mitral regurgitation and recurrence of IE, regardless of lesion complexity., Journal Article},
 title = {Outcomes of surgical treatment for active infective endocarditis of mitral valve compared using complexity scoring.},
 year = {2020},
 yomi = {ワキサカ, ホダカ and ワキサカ, ホダカ}
}