Di Matteo J, Vacheron A, Heulin A, Lafont H, Gilles R, LePailleur C, Fleury G, Metzger J P
Arch Mal Coeur Vaiss. 1976 Feb;69(2):134-4.
There is no controversy about the prosthetic replacement of the aortic valve in cases in which there is a disorder of function or cardiac failure, or in cases with a tight aortic stenosis, even if it appears to be well-tolerated clinically. It is especially critical in cases of aortic incompetence with marked cardiac enlargement, but the problems are not overwhelming. The indications for operation in very advanced cases with cardiac failure which is refractory, or in aged patients, are discussed.
对于存在功能障碍或心力衰竭的病例，或主动脉瓣重度狭窄的病例，即使临床耐受性良好，主动脉瓣置换术也不存在争议。对于伴有明显心脏扩大的主动脉瓣关闭不全病例，这一点尤为关键，不过问题也并非无法解决。文中还讨论了难治性心力衰竭的极晚期病例或老年患者的手术指征。
