Iakimets L S
Kardiologiia. 1978 Sep;18(9):70-5.
The late results of surgical treatment of 178 patients with follow-up periods of 6 months to 8 years are analysed. The late results were much worse in stage IV disease, marked calcinosis of the valves, concomitant mitral or tricuspid regurgitation, intraatrial thrombosis, as well as in cases with a combination of these complications. Analysis of the actuarial curve showed that unfavourable dynamics of the remote outcomes were usually associated with inadequate aortic or tricuspid commissurotomy. It is underscored that a change in the surgical tactics in the direction of aortic valve prosthetics and correction of tricuspid valve defects and complicated forms of mitral stenosis under conditions of extracorporeal circulation is necessary.
分析了178例随访期为6个月至8年的手术治疗晚期结果。IV期疾病、瓣膜明显钙化、合并二尖瓣或三尖瓣反流、心房内血栓形成以及这些并发症合并出现的病例，其晚期结果要差得多。精算曲线分析表明，远期结果的不良动态变化通常与主动脉瓣或三尖瓣交界切开术不充分有关。强调有必要在体外循环条件下，将手术策略转向主动脉瓣置换以及三尖瓣缺损和复杂二尖瓣狭窄形式的矫正。
