ABSTRACT
The examination of 25 patients operated upon has shown that alterations of functions of the artificial prostheses of the heart valves can be timely detected by a complex of laboratory studies (determination of activity of lactate dehydrogenase, osmotic resistance of erythrocytes, reticulocyte content, hemoglobin and morphological features of erythrocytes).
Subject(s)
Heart Valve Prosthesis/adverse effects , Hemolysis , Adult , Aortic Valve/surgery , Erythrocyte Indices , Female , Humans , L-Lactate Dehydrogenase/blood , Male , Middle Aged , Mitral Valve/surgerySubject(s)
Aortic Valve , Mitral Valve , Rheumatic Heart Disease/diagnosis , Tricuspid Valve , Adolescent , Adult , Blood Circulation , Child , Chronic Disease , Female , Heart Valve Diseases/diagnosis , Heart Valve Diseases/mortality , Heart Valve Diseases/therapy , Heart Valve Prosthesis/mortality , Humans , Male , Middle Aged , Quality of Life , Retrospective Studies , Rheumatic Heart Disease/mortality , Rheumatic Heart Disease/therapyABSTRACT
The article deals with the study of problems of the surgical treatment of patients with multivalvular heart diseases. Problems of myocardial protection, the methods for correcting tricuspid disease, and the attitude towards attendant valvular diseases depending on their severity are discussed on the grounds of the analysis of hospital fatality rate in a group fo 505 patients who underwent one-stage correction of two or three defective heart valves and the appraisal of late results. Analysis of the late results indicates that a more radical approach to the surgical treatment of mitral valvular disease is necessary and that marked relative insufficiency and all forms of organic tricuspid disease must be corrected without fail.
