Hurley P J, Lowe J B, Barratt-Boyes B G
Thorax. 1967 Jul;22(4):314-9. doi: 10.1136/thx.22.4.314.
Seventy-six adults who had débridement-valvotomy for severe aortic stenosis are reviewed. Of these, 61 had isolated aortic valve stenosis and 15 had multivalvar disease. Twenty-six patients (34%) died at or subsequent to surgery. Thirty-eight of the 40 survivors with isolated aortic valve disease have been followed up for between 21 and 70 (mean 46) months after surgery, and detailed evidence as to the state of the aortic valve was obtained in 34 of these either by left heart catheterization or at operation. Only one result was completely acceptable. The great majority of patients were found to have redeveloped important aortic stenosis, and in many this was already sufficiently severe to warrant further surgery. The initial degree of valve calcification seemed to have little bearing on the final result except in the multivalve group. Other series are reviewed. The operation has become increasingly unpopular, but reports continue to suggest that it may still have a place. Our results suggest that the procedure should be discarded.
对76例因严重主动脉瓣狭窄接受清创瓣膜切开术的成年人进行了回顾性研究。其中，61例为单纯主动脉瓣狭窄，15例为多瓣膜疾病。26例患者（34%）在手术时或术后死亡。40例单纯主动脉瓣疾病幸存者中的38例在术后21至70个月（平均46个月）接受了随访，其中34例通过左心导管检查或手术获得了关于主动脉瓣状态的详细证据。只有一个结果完全可以接受。绝大多数患者被发现再次出现严重的主动脉瓣狭窄，而且在许多患者中，狭窄已经严重到需要进一步手术的程度。除了多瓣膜组外，瓣膜钙化的初始程度似乎与最终结果关系不大。还回顾了其他系列研究。该手术越来越不受欢迎，但报告仍表明它可能仍有一席之地。我们的结果表明该手术应被摒弃。
