Summary
The results of valvular heart surgery have been much improved recently because of improvement in surgical techniques, myocardial protection, and valve substitutes. At the National Taiwan University Hospital between 1965 and June 1994, a total of 3410 patients underwent valvular heart surgery; 2548 had valve replacement and 862 had valvular reconstruction. The operation mortality rates were 9.3% for mitral valve replacement (MVR) and 7.4% for aortic valve replacement (AVR), and have been reduced to 6.4% for both MVR and AVR since 1987. Aortoannuloplasty could be performed in patients with a small aortic annulus who needed AVR, yet without increasing the operation mortality rate. Atrial compartment surgery has recently been performed routinely in addition to valve surgery for patients with chronic atrial fibrillation, with a 60% rate of successful conversion to normal sinus rhythm after surgery.
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© 1997 Springer Japan
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Chu, SH., Hsu, RB. (1997). Surgery of Valvular Heart Disease: An Update. In: Lue, HC. (eds) Pediatric Cardiology Updates. Springer, Tokyo. https://doi.org/10.1007/978-4-431-65886-3_19
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DOI: https://doi.org/10.1007/978-4-431-65886-3_19
Publisher Name: Springer, Tokyo
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