Korean J Thorac Cardiovasc Surg.  2000 Feb;33(2):160-166.

Clinical Evaluation of Multiple Valve Replacement

Affiliations
  • 1Department of Thoracic & Cardiovascular Surgery, Medical School, Chonnam National University.

Abstract

BACKGROUND: The purpose of this study is to evaluate and analyze the surgical results in patients undergoing operations for multiple for multiple valvular heart diseases. MATERIAL AND METHOD: From April 1982 to June 1997 multiple valve replacement was performed in 150 patients mitral and aortic valve replacement were done in 135 patients mitral and tricuspid valve replacements in 10 patients triple replacements in 4 patients and aortic and tricuspid valve replacement in 1 patient. Of the valves implanted 157 were St. Jude 104 Duromedics 20 Carpenter-Edwards 6 Bjork-Shiley 6 Ionescu-Shiley and 2 Medtronics. RESULT: The hospital mortality rate was 10.7% (16/150) and the late mortality rate was 7.2% (8/134) The mortality rate was high in early operative period but decreased with time. The causes of death were low cardiac output in 9 sudden death in 3 congestive heart failure in 3 bleeding in 2 cerebral thrombosis in 1 leukemia in 1 multiorgan failure in 1 and so on . The actuarial survival rate excluding operative death was 83.1% at 15 years.
CONCLUSIONS
With a follow-up now extending to 15 years the multiple valve replacement continues to be reliable procedure with relatively low mortality and morbidity.

Keyword

Heart valve replacement

MeSH Terms

Aortic Valve
Cardiac Output, Low
Cause of Death
Death, Sudden
Follow-Up Studies
Heart Failure
Heart Valve Diseases
Hemorrhage
Hospital Mortality
Humans
Intracranial Thrombosis
Leukemia
Mortality
Survival Rate
Tricuspid Valve
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