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[心脏功能不全阶段的主动脉瓣置换术]

[Aortic valve replacement at the cardiac insufficiency stage].

作者信息

Henry P, Jaumin P, Chalant C, Krémer R

出版信息

Arch Mal Coeur Vaiss. 1977 May;70(5):477-82.

PMID:407860
Abstract

80 adult patients with isolated aortic valvulopathy and cardiac insufficiency have been investigated. Among 10 non operated patients, there has been 9 deaths during a three years follow-up. Among 70 operated patients early mortality is not higher than among patients without cardiac failure, but late mortality is significantly higher (27, 1 p. 100), bacterial endocarditis and sudden deaths being particularly frequent. Subjective improvement is constant among survivors but cardiomegaly and left ventricular hypertrophy do not change much. The authors think aortic valve replacement is beneficial even in patients with cardiac failure.

摘要

对80例患有单纯主动脉瓣病变和心脏功能不全的成年患者进行了研究。在10例未接受手术的患者中,三年随访期间有9例死亡。在70例接受手术的患者中,早期死亡率并不高于无心力衰竭的患者,但晚期死亡率显著更高(27%,即每100例中有27例),细菌性心内膜炎和猝死尤为常见。幸存者的主观症状持续改善,但心脏扩大和左心室肥厚变化不大。作者认为,即使是心力衰竭患者,主动脉瓣置换术也是有益的。

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