RESUMO
Foram reoperados 54 pacientes, sendo 43 mitrais e 11 aorticos. No grupo dos aorticos nao houve mortalidade, sendo a trombectomia valvar a cirurgia mais frequente. No grupo dos mitrais foram feitas 59 reoperacoes, assim distribuidas: uma reoperacao em 20 pacientes duas em 12 e tres em 2 pacientes.A mortalidade foi de 30,2% sendo que 2 pacientes foram reoperados "in extremis", enquanto que muitos dos outros o foram em franca congestao pulmonar, sobretudo, os portadores de protese metalicas. E descrita a tecnica operatoria para cada tipo de reoperacao
Assuntos
Próteses Valvulares Cardíacas , Doenças das Valvas Cardíacas , ReoperaçãoRESUMO
Alcoholism, the most prevalent form of drug dependence, has become a problem for large numbers of women. The research literature on alcoholism in women is reviewed, with suggestions for treatment and future research. The greater stigma placed upon female intoxication has made it difficult to obtain reliable data and has contributed to the tendency to ignore the problem altogether. Furthermore, the greater stigma has resulted in guilt because the woman alcoholic is likely to share society's opinion of herself, and this stigma/guilt/shame factor is viewed by the authors as one of the main difficulties in recovery. Certain recurring characteristics among alcoholic women are listed, and the impact on children is briefly discussed. Treatment suggestions include offering women alternatives during rehabilitation.
