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Valve replacement for valvular heart disease with giant left ventricle
1Department of Cardiothoracic Surgery, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu, China. zhangyanglaoshi@hotmail.com.
Objective:
To discuss early efficacy of the cardiac patient with giant left ventricle underwent valve replacement.
Patients And Methods:
Fifty-five patients, who are suffering cardiac valve disease with giant left ventricle, underwent valve replacement. Among them, sixteen patients underwent aortic valve replacement; thirty patients underwent mitral valve replacement; nine patients underwent double valve replacement. All of them use mechanical heart valve.
Results:
The number of early death after operation was five. Two patients died of malignant arrhythmia; two died of intractable low cardiac output syndrome; the last one's mechanical valve lost its ability to function after operation and died of respiration-circulation failure after an emergency operation. The death rate was 9%. The remaining 55 patients were cured and their cardiac function was significantly improved.
Conclusions:
The definite effective myocardial protection and perfect and detailed preoperative treatment can reduce the possibility of operative complications and death rate of this kind of patients.
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