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[100例二尖瓣瓣环成形术心脏直视手术的结果]

[Results of the lst 100 open-heart operations for mitral valve annuloplasty].

作者信息

Prelatov V A

出版信息

Kardiologiia. 1981 Nov;21(11):25-9.

PMID:7311272
Abstract

The paper describes the results of 100 annuloplastic operations for the mitral valve with the aid of support rings of varying constructions. Hospital mortality rate was 10%, late mortality rate 4.6%. Five-year survival was 85.5%. In 87.1% of patients the result was good or satisfactory. Unsatisfactory results are due to the initial state of the valve (gross fibrosis, subvalvular adhesions, calcinosis), exacerbation of rheumatic carditis, septic endocarditis. Six patients with unsatisfactory results were reoperated. In 5 the valve was replaced by artificial prosthesis, in one case additional sutures were placed on the fixing ring.

摘要

本文描述了借助不同结构的支撑环对二尖瓣进行的100例瓣环成形术的结果。医院死亡率为10%,晚期死亡率为4.6%。五年生存率为85.5%。87.1%的患者结果良好或令人满意。结果不理想是由于瓣膜的初始状态(严重纤维化、瓣下粘连、钙质沉着)、风湿性心脏炎加重、感染性心内膜炎。6例结果不理想的患者接受了再次手术。5例患者用人造瓣膜置换了瓣膜,1例在固定环上额外缝合。

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