Cândea V, Tintoiu I, Popa A, Dumitraşcu G, Goleanu V, Mitrică M
Clinica Chirurgie Cardiovasculară, Spitalul Central Militar, Bucureşti.
Rev Med Interna Neurol Psihiatr Neurochir Dermatovenerol Med Interna. 1990 Jan-Feb;42(1):89-95.
The present paper analyzed the indications and surgical treatment in 505 patients with lesions of the mitral valve. 350 lesions were of rheumatic nature and 148 with nonrheumatic etiology. 31 patients with infectious endocarditis with mitral localization were operated; 3 deaths and 56 cases wits aggravation of the lesions after endocarditis with a mortality of 6%, were recorded. The severity factors, the complications and characteristics of the intervention in these patients were analyzed. 48 patients had dysfunctions of the mechanical prosthesis with disk and 11 with Edwards Carpentier's prosthesis. The dysfunction types, the diagnosis methods and the evolution were investigated. 16 emergency cases with dysfunctions of the prostheses were operated wits good results. The cooperation among cardiologist, surgeon, explorer and anesthesiologist is an essential condition for the best solution of the new and complex pathology.
本文分析了505例二尖瓣病变患者的适应症及手术治疗情况。其中350例病因为风湿性，148例为非风湿性病因。对31例二尖瓣定位的感染性心内膜炎患者进行了手术；记录到3例死亡，56例心内膜炎后病变加重，死亡率为6%。分析了这些患者的严重程度因素、并发症及干预特点。48例患者的盘式机械瓣膜出现功能障碍，11例患者的爱德华兹·卡彭蒂埃瓣膜出现功能障碍。研究了功能障碍类型、诊断方法及病情发展。对16例出现瓣膜功能障碍的急诊病例进行了手术，效果良好。心脏病专家、外科医生、检查人员和麻醉师之间的合作是最佳解决新的复杂病症的必要条件。
