Domanig E, Helmer F, Navrátil J, Wolner E
Wien Klin Wochenschr. 1977 Jun 10;89(12):409-12.
111 patients with aortic valve replacement (AVR) and 159 patients with mitral valve replacement (MVR) were studied after hospital discharge. The late mortality was 20% after AVR and 32% after MVR. Of the survivors, 93% were greatly improved after AVR and 83% after MVR (functional class I or II). The calculated 5-year survival rate of the patients with AVR is 76% and with MVR 64%. The general state of health of the survivors, the thromboembolic rate and the fatal complications are discussed. Further improvement in the results can only be expected if valve replacement is performed before irreversible myocardial damage has occurred.
111例行主动脉瓣置换术（AVR）的患者和159例行二尖瓣置换术（MVR）的患者在出院后接受了研究。AVR术后的晚期死亡率为20%，MVR术后为32%。在幸存者中，93%在AVR术后有显著改善，83%在MVR术后有显著改善（心功能分级为I级或II级）。计算得出AVR患者的5年生存率为76%，MVR患者为64%。讨论了幸存者的总体健康状况、血栓栓塞率和致命并发症。只有在不可逆心肌损伤发生之前进行瓣膜置换，才有望进一步改善治疗结果。
