RESUMO
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).
Assuntos
Próteses Valvulares Cardíacas/efeitos adversos , Hemólise , Adulto , Valva Aórtica/cirurgia , Índices de Eritrócitos , Feminino , Humanos , L-Lactato Desidrogenase/sangue , Masculino , Pessoa de Meia-Idade , Valva Mitral/cirurgiaAssuntos
Valva Aórtica , Valva Mitral , Cardiopatia Reumática/diagnóstico , Valva Tricúspide , Adolescente , Adulto , Circulação Sanguínea , Criança , Doença Crônica , Feminino , Doenças das Valvas Cardíacas/diagnóstico , Doenças das Valvas Cardíacas/mortalidade , Doenças das Valvas Cardíacas/terapia , Próteses Valvulares Cardíacas/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Estudos Retrospectivos , Cardiopatia Reumática/mortalidade , Cardiopatia Reumática/terapiaRESUMO
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.