Reconstructive Surgery for Acquired Valve Diseases : SYMPOSIUM ON CURRENT PROBLEMS IN VALVULAR HEART DISEASE
スポンサーリンク
概要
- 論文の詳細を見る
There has been a continuing controversy between reconstructive valve surgery and replacement. In this paper, an analysis of clinical and hemodynamic late results of the patients undergoing open mitral commissurotomy (OMC, 135 patients), repair of mitral regurgitation (MAP, 32 patients), and combined valvuloplasty (62 patients) was presented. 1) OMC: The 10-year actuarial survival rate was 86.5% Postoperatively. None of the patients required reoperation in this series. Clinical and hemodynamic improvements mainly depended upon the anatomical severity of a stenosed mitral valve. 2) MAP: The 10-year actuarial survival rate was 94% postoperatively. Especially, good to excellent results were obtained in the patients with mitral regurgitation due to ruptured chordae or dilated annulus. 3) Combined valvuloplasty: The 10-year actuarial survival rates postoperatively were 90% in OMC + tricuspid annuloplasty group (31 patients), 100% in MAP + tricuspid annuloplasty group (7 patients), and 87.2% in OMC + aortic commissurotomy group (24 patients). The reconstructive valve surgery provides very small operative risk, very low late mortality and morbidity. Therefore, it should be the treatment of choice for most of the patients with symptomatic valve disease.
- 社団法人日本循環器学会の論文
- 1982-04-20
著者
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Sakai Kei
Heart Science Centre Harefield Hospital Imperial College Faculty Of Medicine
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HIROSE Hajime
First Department of Surgery, Gifu University School of Medicine
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Nakatani Takeshi
国立循環器病センター 心臓血管
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Kawashima Yasunaru
First Dept. of Surgery & Dept. of Radiology, Osaka University Hospital
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Morisaki Hiroshi
First Dept. of Surgery & Dept. of Radiology, Osaka University Hospital
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Matsuda Hikaru
First Dept. of Surgery, Osaka Unlv School of Med
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Kawashima Yasunaru
Division Of Cardiovascular Surgery Osaka Minami National Hospital
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Kawashima Yasunaru
大阪大学 第1外科
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Nakao Tomoko
東京大学 循環器内科
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Nakano Susumu
First Department of Surgery, Osaka Medical School University
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Sakai Kei
First Department of Surgery, Osaka Medical School University
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Kawashima Yasunaru
First Department Of Surgery Osaka University Medical School
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Ohnishi Kenji
Division Of Cardiac Surgery Sakurabashi Watanabe Hospital:first Department Of Surgery Osaka Universi
-
Hirose Hajime
First Department Of Surgery Gifu University School Of Medicine
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Matsuda Hikaru
First Department Of Surgery And Department Of Pediatric Surgery Osaka University Medical School
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Hiranaka Toshiyuki
First Department of Surgery, Osaka University Medical School
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Onishi Kenji
First Dept. Of Surgery Osaka Unlv School Of Med
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Kuki Satoru
First Department Of Surgery Osaka University Medical School
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Sato Shigeo
First Department of Surgery, Osaka University, Medical School
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OYAMA CHOKEN
Department of Surgery III, Nara Medical College
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KITAMURA SOICHIRO
Third Department of Surgery, Nara Medical College Hospital
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OHNISHI KENJI
First Department of Surgery, Osaka University Hospital
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KAWASHIMA YASUNARI
FIRST DEPARTMENT OF SURGERY OSAKA UNIVERSITY MEDICAL SCHOOL
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Mori Tohru
Second Department of Surgery, Tottori University School of Medicine
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Sakai Kei
First Department Of Surgery Osaka University Medical School
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OHYAMA CHOKEN
Third Department of Surgery, Nara Medical College
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NAKATANI TAKESHI
First Department of Surgery, Osaka University Medical School
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Sakaki Shigehiko
Division Of Cardiac Surgery Sakurabashi Watanabe Hospital:first Department Of Surgery Osaka Universi
-
Hiranaka Toshiyuki
The 1st Department Of Surgery Osaka University Medical School
-
Nakano Susumu
First Department Of Surgery Osaka University Medical School
-
Kawashima Yasunaru
First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo
-
Kitamura Soichiro
Third Department Of Surgery Nara Medical College Hospital
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Ohnishi Kenji
First Department Of Surgery Osaka University Hospital
-
Mori Tohru
Department Of Developmental Medicine (pediatrics) Osaka University Graduate School Of Medicine
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Mori Tohru
Second Department Of Surgery Tottori University School Of Medicine
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Oyama Choken
Department Of Surgery Iii Nara Medical College
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Oyama Choken
1st Department Of Surgery Osaka University Medical School
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Sato Kunitomo
Division Of Cardiology Sakurabashi Watanabe Hospital
-
Satoh Kunitomo
Cardiovascular Division Sakurabashi Watanebe Hospital
-
Nishimura Takashi
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
-
Oyama Choken
Department Of Surgery Iii Nara Medical Collge
-
Matsushita Tohru
Department Of Developmental Medicine (pediatrics) Osaka University Graduate School Of Medicine
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Mori Toru
First Dept. Of Surgery Osaka Unlv School Of Med
-
Ohyama Choken
1st Dept. Of Surg. Osaka Univ. School Of Med.
-
Ohyama Choken
1st Dept. Of Surgery Osaka Univ. School Of Med
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Sato Shigeo
Department Of Cardiovascular Surgery Sakurabashi Watanabe Hospital
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Morisaki Hiroshi
First Department Of Surgery Osaka University Medical School
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Mori Toru
1st Dept. Of Surg. Osaka Univ. Med. School
-
Ohoyama Choken
1st Dept. Of Surg. Osaka Univ. School Of Med.
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Suzuki Ken
First Department Of Surgery Osaka University Medical School
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Ohnishi Kenji
First Department Of Surgery Faculty Of Medicine University Of Fukui School Of Medicine
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