Obiekt
Tytuł: Influence of clinical and echocardiographic parameters on short-term results of mitro-aortic valve surgery
Abstrakt:
Patients with combined mitre-aortic vavlular heart disease amounted 10,4% (117 persons) among all 1124 consecutive patients operated on congestive heart valve disease between 01.01.1998 and 31.12.1999 in Department of Cardiovascular Surgery and Transplantology in Cracow. 96 of them (49 women and 47 men) had simultaneous mitral and aortic valve replacement using artificial valves without additional surgical procedures and this population was retrospective analyzed in detail. Patients were divided in four groups and four subgroups. The criterion of division on groups was type of dominant valve disease (SA- aortic stenosis, SM- mitral stenosis, IA- aortic incompetece, IMmitral incompetence). The criterion of division on subgroups was type of co-existent valve disease (defined as SASM, SAIM, SMIA, IAIM, according to adequate abbreviations mentioned above). Low output syndrome occurred in 48,96% of operated patients (47 persons). 14 patients (14,58%) died during hospitalization. There was no statistically significant influence of type of dominant valve disease or type of co-existing valve disease on early operative results. The most important risk factors for early postoperative outcomes were: advanced heart valve disease revealed as low ejection fraction, high right ventricle pressure, congestive heart failure, secondary malfunction of liver and kidneys as well ; as advanced age and some co-morbidities for example diabetes. Decision concerning qualification of patient with mitre-aortic valve disease to cardiac operation should be carry out suitable early that means before developing of irreversible myocardial damage and multiorgan failure.
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Data ostatniej modyfikacji:
26 cze 2023
Data dodania obiektu:
21 lis 2012
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1 533
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http://dl.cm-uj.krakow.pl:8080/publication/1057
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| Nazwa wydania | Data |
|---|---|
| ZB-103484 | 26 cze 2023 |
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