Surgical correction of multivalvular defects in patients who had earlier undergone heart surgery

The article analyses the results of surgical treatment of 45 patients with multivalvular acquired heart diseases which had been previously treated by operation. Stage III (terminal) circulatory disorders were diagnosed in 11 (24.1%) patients. A pathological condition of the tricuspid valve was found...

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Bibliographic Details
Published inGrudnaia khirurgiia (Moscow, Russia) no. 6; p. 17
Main Authors Malyshev, Iu I, Iarygin, A S, Malyshev, M Iu
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.11.1989
Subjects
Adult
Aortic Valve Insufficiency - complications
Aortic Valve Insufficiency - surgery
Cardiac Surgical Procedures
Female
Heart Valve Diseases - surgery
Heart Valve Prosthesis
Humans
Male
Middle Aged
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - surgery
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - surgery
Postoperative Complications
Recurrence
Reoperation
Time Factors
Tricuspid Valve Insufficiency - complications
Tricuspid Valve Insufficiency - surgery
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Summary:The article analyses the results of surgical treatment of 45 patients with multivalvular acquired heart diseases which had been previously treated by operation. Stage III (terminal) circulatory disorders were diagnosed in 11 (24.1%) patients. A pathological condition of the tricuspid valve was found in almost all patients with the terminal stage of circulatory disorders. Eleven (24.4%) patients died after the operation. The most frequent causes of the fatal outcomes were: cardiac failure (in 6 patients) and hemorrhage (in 2 patients during the operation and in 1 patients on the 6th post-operative day; the bleeding occurred from varicose veins of the stomach and esophagus). Severe initial circulatory insufficiency was the main factor of operative risk. The criteria of operability must be elaborated for this contingent of patients suffering from severe cardiac insufficiency on the eve of the operation.
ISSN:0017-4866