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[Emergencies in valvular surgery].

P Colombi, F Donatelli, G Pomé

    Giornale Italiano Di Cardiologia
    |December 1, 1983
    PubMed
    Summary
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    Emergency cardiac valve surgery is critical for patients with native or prosthetic valve issues, despite high perioperative mortality. Long-term results are satisfying, underscoring the necessity of timely surgical intervention for these critical cardiac conditions.

    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Cardiovascular Medicine

    Context:

    • Study retrospectively analyzes 90 patients undergoing emergency cardiac valve surgery between 1976 and 1981.
    • Patients divided into two groups: native valve surgery (Group I) and prosthetic valve reoperation (Group II).
    • Investigates etiologies and indications for emergency surgery in both native and prosthetic valve disease.

    Purpose:

    • To evaluate the outcomes of emergency cardiac valve surgery in patients with native and prosthetic valves.
    • To determine the necessity and long-term efficacy of urgent surgical intervention.
    • To analyze perioperative mortality and long-term survival rates in this patient cohort.

    Summary:

    • Group I (native valves) had 57 patients with various etiologies including rheumatic heart disease and endocarditis, with emergency indications like cardiogenic shock and pulmonary edema. 26 perioperative deaths.

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  • Group II (prosthetic valves) had 33 patients, primarily due to leakage (27 cases) and malfunction (6 cases). 17 perioperative deaths.
  • Mean follow-up showed better long-term survival in Group I (2 deaths among 27) compared to Group II (6 deaths among 15), despite initial high mortality.

    • Impact:

    • The study emphasizes that emergency cardiac valve surgery is mandatory for achieving satisfactory long-term results.
    • Findings support surgical intervention even with high perioperative mortality rates.
    • Highlights the importance of addressing valve dysfunction urgently for improved patient outcomes.