Multivalvular heart surgery was performed in 78 cases. in the Department of Thoracic & Cardiovascular Surgery of Chonbuk National University Hospital from November 1993 to March 1994.
There were 31 men and 47 women. Whose ages ranged from 14 to 63 years. The causes of the valvular lesions were 57 rheumatic origin, 18 degenerative, l previous endocarditis, l prosthetic valve mal-function. There were 25 double valve replacement
with or
without tricuspid valve repair, 2 MVR and aortic valve repair, 18 MVR and tricuspid valve repair, l MVR and aortic and tricuspid valve repair, 10 AVR and mitral valve repair, l AVR and tricuspid valve repair 8 mitral aortic valve repair, 18
mitral
and
tricuspid valve repair. They were improved mean New York Heart Association functional class, from 2.72 to 1.21.
Early deaths were 5 cases(6.4%). The cause of death were low cardiac output syndrome, ventricular tachycardia, massive bleeding and cerebral thromboembolism.
All the survivors belonged to New York Heart Association functional class l or ll at discharge.
The patients who had had valve replacement operation were medicated with warfarin to maintain the level of 30~50% of normal prothrombin time.
During follow-up(93.6%, mean 49.8 months. 2 late deaths were developed. One was due to intracranial hemorrhage and the other congestive heart failure.
The pre-operative New York Heart Association Functional class IV was statistically significant operative risk factors(P<0.05).
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