LATE RESULTS OF SURGICAL TREATMENT OF VALVULAR HEART DISEASE
- VernacularTitle: ЗҮРХНИЙ ХАВХЛАГЫН ГАЖГИЙН МЭС ЗАСЛЫН ЭМЧИЛГЭЭНИЙ АЛСЫН ҮР ДҮН
- Author:
Baasanjav N
1
;
Bat-Undral D
;
Bayaraa T
Author Information
1. Institute of Medical Sciences
- Publication Type:Journal Article
- Keywords:
late results;
complication of heart operation;
risk factors;
- From:Journal of Surgery
2016;20(2):30-36
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction: The paper presents lateresults of surgical correction of the patientswith acquired heart disease.Materials and method: Two hundredfifty one patients had surgical defectcorrection from 2000 to 2016 years. Lateresults were observed in 134 patients. It wasrevealed that subgroup with aortic, mitral andmitral-aortic stenosis and in the subgroupwith aortic insufficiency, systolic functionof the left ventricular was significantlyincreased and heart cavities were positivelyremodeled.Results: Five-year survival rate in subgroupwith initial aortic stenosis and insufficiencywas 100% , in subgroup with initial mitralstenosis - 78.4%, with mitral insufficiency- 75.0%, with mitral-aortic stenosis - 94.1%and with mitral-aortic insufficiency - 49.1%.Conclusion: Risk factors of late mortalityof the patients with valve pathology andsystolic dysfunction of left ventricular aftersurgical correction are: IV NYHA, chronicheart failure, the heart-lung coefficientmore than 65%, high lung hypertension(systolic pressure in pulmonary artery morethan 60 mm.Hg), size of the left ventricularmore than 60 mm and index of end-diastolicvolume of left ventricular more than 110 ml/m2.
