[心脏瓣膜置换术后再次手术。附99例报告]

[Reoperations on heart valve prosthesis. Apropos of 99 cases].

作者信息

Bouchart F, Bessou J P, Tabley A, Redonnet M, Mouton-Schleifer D, Arrignon J, Soyer R

机构信息

Service de Chirurgie Thoracique et Cardio-Vasculaire, Hôpital Charles-Nicolle, Rouen.

出版信息

Ann Chir. 1993;47(2):103-7.

PMID:8317867

Abstract

From March 1977 to November 1988, 99 patients were reoperated on after a first valvular replacement. Mean delay between the two operations was 53 months (10 days to 18 years). The patients were reoperated on mainly for mechanical disinsertion (30), bacterial endocarditis (25) and thrombosis (18 patients). Operative mortality was 11%, mainly following reoperation for bacterial endocarditis. Mean follow-up (85 patients) was 49 months (6 months-11 years). 75% were alive and doing well 4 years after reoperation and 66% at 6 years. Eight patients needed a third operation with two deaths.

摘要

1977年3月至1988年11月，99例患者在首次瓣膜置换术后接受了再次手术。两次手术之间的平均间隔时间为53个月（10天至18年）。再次手术的主要原因是机械性瓣周漏（30例）、细菌性心内膜炎（25例）和血栓形成（18例）。手术死亡率为11%，主要发生在因细菌性心内膜炎进行再次手术之后。平均随访时间（85例患者）为49个月（6个月至11年）。再次手术后4年，75%的患者存活且状况良好；6年时为66%。8例患者需要进行第三次手术，其中2例死亡。