Re-evaluation of the Indications for Cardiac Valve Replacement : PANEL DISCUSSION ON VARIOUS PROBLEMS IN VALVE REPLACEMENT

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概要

• 論文の詳細を見る

• We re-evaluated the indications for mitral valve replacement and reconstruction, and attempted to determine the optimal time for aortic valve replacement. (1) The actuarial event-free survival rate in patients undergoing open mitral commissurotomy for mitral stenosis with far-advanced subvalvular deformities was 78 per cent at 11 years after surgery and similar in patients undergoing mitral valve replacement for mitral stenosis. Postoperative clinical improvements compared favorably with those in patients undergoing mitral valve replacement. If quality of postoperative life in patients not requiring anticoagulants is borne in mind, open mitral commissurotomy should be given strong consideration as the procedure of choice for the majority of patients with mitral stenosis. (2) The long-term results of reconstructive procedures for mitral regurgitation largely depend upon the pathological anatomies contributing to the development of mitral regurgitation. The results were less satisfactory in patients with fibrotic changes of valvular and subvalvular tissue than in patients undergoing mitral valve replacement for mitral regurgitation. (3) In aortic valve replacement, the postoperative prognosis was poor in patients with a preoperative left ventricular end-systolic volume index exceeding 200 ml/m^2 and left ventricular ejection fraction less than 0.35. Operative management of patients with aortic valve disease should be considered, before severe left ventricular systolic dysfunction is evident.

• 社団法人日本循環器学会の論文
• 1984-10-20

著者

• HIROSE Hajime

  First Department of Surgery, Gifu University School of Medicine

• Taniguchi Kazuhiro

  First Department Of Surgery Osaka University Medical School

• Kawashima Yasunaru

  First Dept. of Surgery & Dept. of Radiology, Osaka University Hospital

• Matsuda Hikaru

  First Dept. of Surgery, Osaka Unlv School of Med

• Nakano Susumu

  First Department of Surgery, Osaka Medical School University

• Kawachi Kanji

  Department Of Surgery Ii Ehime University School Of Medicine

• Hirose Hajime

  First Department Of Surgery Gifu University School Of Medicine

• Matsuda Hikaru

  First Department Of Surgery And Department Of Pediatric Surgery Osaka University Medical School

• Sato Shigeo

  First Department of Surgery, Osaka University, Medical School

• OYAMA CHOKEN

  Department of Surgery III, Nara Medical College

• KAWACHI KANJI

  Third Department of Surgery, Nara Medical College Hospital

• OHYAMA CHOKEN

  Third Department of Surgery, Nara Medical College

• Sakaki Shigehiko

  Division Of Cardiac Surgery Sakurabashi Watanabe Hospital:first Department Of Surgery Osaka Universi

• 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

• Kobayashi Yasuhiko

  Division Of Cardiovascular Surgery Osaka Minami National Hospital

• Oyama Choken

  Department Of Surgery Iii Nara Medical College

• Oyama Choken

  1st Department Of Surgery Osaka University Medical School

• Oyama Choken

  Department Of Surgery Iii Nara Medical Collge

• Ohyama Choken

  1st Dept. Of Surg. Osaka Univ. School Of Med.

• Ohyama Choken

  1st Dept. Of Surgery Osaka Univ. School Of Med

• Kawachi Kanji

  Department Of Organ Regenerative Surgery Ehime University Graduate School Of Medicine

• Sato Shigeo

  Department Of Cardiovascular Surgery Sakurabashi Watanabe Hospital

• Kawachi Kanji

  Third Department Of Surgery Nara Medical School

• Ohoyama Choken

  1st Dept. Of Surg. Osaka Univ. School Of Med.

• Taniguchi Kazuhiro

  First Department of Surgery, Osaka University Medical School

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