von der Emde J, Rein J, Hacker R
MMW Munch Med Wochenschr. 1975 Sep 26;117(39):1571-6.
Indications and results of operative treatment of acquired heart diseases are presented with reference to our experience with over 1500 operations on the heart valves and over 800 coronary surgical operations. The risk in timely operation for prosthetic substitution of aortic and mitral defects is less than 5%. An essential condition is, however, that no irreversible changes have developed and that the defect could be completely corrected. Surgical treatment of coronary heart disease is superior to conservative therapy and carries a risk of under 2% on strict indication. Timely operation on segmental stenoses before the ischemic myocardium is fibrosed is an essential. 70% of patients operated on can count on freedom from complaint for the time being after these palliative operations.
结合我们在1500多例心脏瓣膜手术和800多例冠状动脉外科手术中的经验，介绍了后天性心脏病手术治疗的适应症和结果。对于主动脉和二尖瓣缺损进行人工瓣膜置换的及时手术风险小于5%。然而，一个基本条件是尚未出现不可逆的变化，并且缺损能够得到完全纠正。冠心病的手术治疗优于保守治疗，在严格适应症下风险低于2%。在缺血性心肌纤维化之前对节段性狭窄进行及时手术至关重要。接受这些姑息性手术后，70%接受手术的患者目前可以指望不再有不适症状。
