Thormann I, Gläser G, Jelavic T, Paeprer H, Schmutzler H
Z Kardiol. 1980 Sep;69(9):625-31.
The value of prosthetic valve replacement is determined not only by the improvement in life expectancy but also by the quality of life. This statement resulted from an analysis of 168 patients undergoing isolated aortic -- or mitral -- valve replacement between 1970 and 1976. Besides numerous complications -- probably often avoidable such as side effects of incorrect anticoagulation -- long term results of 125 surviving patients were satisfactory over a period of 3-9 years after surgery. Though complete restitution was rare, subjective and objective improvement -- different and dependent on type and degree of valve disease -- was persisting and the effect on social and professional incorporation surprisingly positive.
人工瓣膜置换的价值不仅取决于预期寿命的提高，还取决于生活质量。这一结论源于对1970年至1976年间接受单纯主动脉瓣或二尖瓣置换术的168例患者的分析。除了许多并发症（可能很多是可以避免的，比如抗凝不当的副作用）外，125例存活患者在术后3至9年的长期结果令人满意。虽然完全恢复的情况很少见，但主观和客观上的改善（因瓣膜疾病的类型和程度而异）持续存在，并且对社会和职业融入的影响出奇地积极。
