[Isolated coronary perfusion in operations on the aortic valve under visual control].
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Biomedical subjects
Publications and source records attributed to G I Tsukerman.
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The article analyses the results of surgical correction of tri-valvular heart diseases in 132 patients who were operated on between January, 1973 and March, 1986. Total hospital mortality was 20.4%. Among the last 72 operations conducted from January, 1980 hospital mortality amounted to 14.0% (10 patients died). The results of the operations were approximately the same in the different methods of correction: 105 patients were studied in late follow-up periods (from 6 months to 14 years). With consideration for the hospital losses, by the 7th year of follow-up the survival after prosthetic replacement of 3 valves was 61.8%, after replacement of the mitral and aortic and valvuloplasty of the tricuspid valve--60.6 degrees. The stability of good results was 59.6 and 58.1%, respectively. Among and analogous group of patients who received drug treatment survival by the 7th year was 28.1%, which is evidence of the obvious advantages of the surgical method of treatment. The results were best in patients subjected to plastic operations on two and three valves.
Four of 28 patients who were operated on died in late-term periods, four from advancing cardiac failure and one died 5 years after an operation from cardiac tamponade. In the group of four patients one underwent Cabrol's operation, three were operated on by the Bentall-De Bono method. The condition of 25 patients considerably improved and they were related to the II and I functional classes. The result was poor in three patients due to initial severity of the process in one, dilatation of the arch of the aorta in another, the presence of a fistula in the distal anastomosis in the third. One patient treated by Cabrol's operation and another who was operated on by the Bentall-De Bono method had pseudoaneurysms in the orifices of the coronary arteries. Despite some complications which occurred in the late postoperative periods, the Cabrol and Bentall-De Bono operations are the most radical means today for surgical treatment of aneurysms of the ascending aorta.
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