[Surgical treatment of rheumatic valve disease]

ABSTRACT

Surgical treatment of rheumatic valve disease requires valve replacement or conservative treatment i.e. commissurotomy or valve prothesis. Indication of surgery depends on age, coexistent diseases, myocardium status. Post operative mortality depends on the type of surgery and on the causative valve disease. It is related to cardiac failure. Late mortality depends on the previous myocardium statuts. Late complications are restenosis, thrombosis, embolism and hemorrhage, prothesis desinsertion, valve degenerescence and bacterial endocarditis. post operative follow up has two objectives repeated assessment of surgery results and control of prothesis function