解放军医学杂志2017，Vol.42Issue(1)：57-60,4.DOI:10.11855/j.issn.0577-7402.2017.01.11
复发性心脏瓣膜病的多次手术治疗(附28例报告)
Resurgery for recurrent heart valve diseases
任崇雷 1姜胜利 1王明岩 1龚志云 1于伟 1陈磊 1李梁钢 1高长青1
作者信息
- 1. 100853 北京 解放军总医院心血管外科、解放军心外科研究所
- 折叠
摘要
Abstract
Objective To summarize the experience with resurgery for recurrent valvular heart diseases.Methods From June 2004 to June 2015, 28 patients (15 males and 13 females) with ages ranging from 44 to 67 years (55.6±6.5 years) with recurrent heart valve disease underwent resurgery. The reasons for resurgery included perivalvular leakage (7 cases), bioprosthetic valve decline (6 cases in mitral valve and 3 in tricuspid valve), mechanical prostheses dysfunction (2cases), infective endocarditis after valve replacement (2 cases), restenosis of repaired native valve (1 case), and severe tricuspid insufficiency after left-side valve surgery (7 cases). Resurgery included mitral valve replacement in 18 patients and tricuspid valve replacement in 10. All the patients underwent third or fourth or even fifth cardiac surgery for valve replacement.Results There were 2 hospital deaths with a mortality of 7.1% (2/28). The main causes of early-stage deaths were low cardiac output syndrome. The main postoperative complications were respiratory failure in 3, low cardiac output syndrome in 2, reexploration for bleeding in 2 and serious infectious shock in 1. All the patients were found with the great improvement in heart function and the re-implanted prostheses worked well during follow-up.Conclusions Although resurgery for recurrent heart valve disease poses a continuing challenge to cardiac surgeon, it could be performed with the satisfactory results. The keys to a successful cardiac resurgery include appropriate operational timing, refined surgical technique and reasonable perioperative managements.关键词
复发性心脏瓣膜疾病/再手术/瓣膜置换术Key words
recurrent heart valve diseases/reoperation/valve replacement分类
医药卫生引用本文复制引用
任崇雷,姜胜利,王明岩,龚志云,于伟,陈磊,李梁钢,高长青..复发性心脏瓣膜病的多次手术治疗(附28例报告)[J].解放军医学杂志,2017,42(1):57-60,4.
