From April, 1982 to December, 1992, multiple valve replacement was performed in 100 patients.
Mitral and aortic valve replacement were done in 86 patients, 9 underwent mitral and tricuspid valve replacement, 4 patients underwent triple valve replacement and 1 patient underwentt aortic and tricuspid valve replacement.
Of the valve implanted, 100 were. St. Jude, 64 Duromedics, 19 Carpentier-Edwards, 13 Bj?k-Shiley, 6 Ionescu-Shiley, and 2 Medronics.
The hospital mortality rate was 15% (15 patients) and the late mortality rate was 7% (7patients), the mortality rate was high in early operative period but decreased with time(20% at 1986, 18.2% at 1987, 9.5% at 1988, 11.1% at 1989, 12.5% at
1990,
11.8%
at 1991, 0% at 1992).
The causes of death were low cardiac output in 8, sudden death in 3, CHF in 3, bleeding in 2, cerebral thrombolism in 1, leukemia in 1, multiorgan failure in 1 and so on.
The actuarial survival rate excluding operative death was 73% at 10 years. (Korean J Thoracic Cardiovas Surg 1994; 27:838-45)
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