Asunto(s)
Endocarditis/cirugía , Prótesis Valvulares Cardíacas/efectos adversos , Trombosis/cirugía , Adolescente , Adulto , Válvula Aórtica/cirugía , Niño , Preescolar , Endocarditis/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Válvula Mitral/cirugía , Falla de Prótesis , Reoperación , Trombosis/etiologíaRESUMEN
The results of surgical treatment of congenital heart diseases in 595 children under 3 years of age are generalized. There were no fatal outcomes after correction of coarctation of the aorta (9 cases), patent ductus arteriosus (312), pulmonary and aortic stenoses (7). Among 62 patients who underwent removal of an atrial septal defect 3 (4.8%) died. Operations were performed on 140 patients for a ventricular septal defect with high pulmonary hypertension, 31 (22.1%) of them died from various causes. Operations for complicated heart diseases were acts of despair in children whose condition was critical.
Asunto(s)
Conducto Arterioso Permeable/cirugía , Defectos del Tabique Interatrial/cirugía , Defectos del Tabique Interventricular/cirugía , Transposición de los Grandes Vasos/cirugía , Factores de Edad , Preescolar , Circulación Extracorporea , Humanos , Hipotermia Inducida , Lactante , Cuidados Intraoperatorios , Pericardio/trasplanteRESUMEN
The discussion covers long-term results of mitral valve replacement with Soviet-made prostheses. Two hundred and sixty-three patients have been under observation, the follow-up periods lasting from six months to five years. A ball-valve prosthesis (MK4-25) was implanted to 125 patients; 138 patients received a low-profile (,) prosthesis. Functional parameters were improved in 86 (69.9 percent) patients with ball-valve implants and in 118 (89 percent) patients with low-profile implants. Ten ball valve implanted patients (8 percent) and 6 (4.3 percent) patients with low-profile prostheses died in the long-term period. The five-year survival of rotation-disc artificial valve recipients was 90 percent, and that of the ball valve-implanted patients, 83 percent.