[Surgical correction of the rheumatic concomitant mitral-aortal failure complicated by thrombosis of the left auricle].

The results of surgical treatment of 51 patients with the thrombosis of the left auricle (LA), occurred after performance of intervention for the rheumatic concomitant mitral-aortal failure (RCMAF) of the heart were analyzed. The substitution of two valves was performed in 37 patients, valve-preserving operations in combination with the prosthesis--in 14. The massive thrombosis of LA (more than 1/3 volume) occurred in 16 (31%) patients. On the hospital stage 17 patients, mainly with complicated current and organic failure of the tricuspid valve in combination with the adhesive pericarditis, calcinosis of the valves, and also previously operated for the heart, died. The late results (from 1 to 12 yrs) of intervention were studied in 33 patients. Good result was noted in 20 (60.6%) patients, satisfactory--in 5 (15.2%), nonsatisfactory--in 1 (9.1%). 5 (15.2%) patients died mainly because of the thromboembolic complications. The thromboembolic complications were not noted in patients to whom the valve-preserving procedures were conducted. All the patients in this group are alive.