[Long-term results after cardiac valve replacement (author's transl)]

Area of Science:

• Cardiovascular Surgery
• Medical Device Technology
• Patient Outcomes Research

Context:

• Analysis of 168 patients undergoing isolated aortic or mitral valve replacement between 1970-1976.
• Investigated long-term results for 125 surviving patients over 3-9 years post-surgery.

Purpose:

• To evaluate the overall value of prosthetic valve replacement, considering both life expectancy and quality of life.
• To assess the long-term functional and social outcomes following valve surgery.

Summary:

• Prosthetic valve replacement offers satisfactory long-term results, with persistent subjective and objective improvements.
• While complete recovery is uncommon, patients experience significant benefits impacting their daily lives.
• Complications, including those related to anticoagulation, were noted but often deemed avoidable.

Impact:

• Demonstrates the positive influence of valve replacement on social and professional reintegration.
• Highlights the importance of quality of life as a key metric for surgical success.
• Provides insights into the long-term efficacy and patient-reported benefits of prosthetic heart valves.