Summary
After more than 40 years of heart valve surgery, the indication for double valve procedures still represents a problem in the presence of an obviously leading single valve disease. If the isolated valves do not already represent a clear indication for surgery then this situation is the best example for a good deal of thought in cardiac surgery and discussion with competent cardiologists.
Zusammenfassung
Auch nach mehr als 40 Jahren Herzklappenchirurgie stellt die Indikation zur Doppelklappenoperation bei einem offensichtlich führenden monovalvulären Vitium ein Problem dar. Sollten nicht beide Klappen schon isoliert eine klare Operationsindikation darstellen, sind Pro- Kontra-Doppelklappenersatz-Überlegungen das beste Beispiel für Nachdenken in der Herzchirurgie und sachliche Diskussion mit dem Kardiologen.
Similar content being viewed by others
Literatur
Bonow RO, Carabello B, Leon AC de Jr, Edmunds LH Jr, Fedderly BJ, Freed MD, Gaasch WH, McKay CR, Nishimura RA, O'Gara PT, O'Rourke RA, Rahimtoola SH, Ritchie JL, Cheitlin MD, Eagle KA, Gardner TJ, Garson A Jr, Gibbons RJ, Russell RO, Ryan TJ, Smith SC Jr (1983) Guidelines for the management of patients with valvular heart disease: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Valvular Heart Disease). Circulation 98: 1949–1984
Borow KM, Green LH, Mann T, Sloss LJ, Braunwald E, Collins JJ, Cohn L, Grossman W (1980) End-systolic volume as a predictor of postoperative left ventricular performance in volume overload from valvular regurgitation. Am J Med 68: 655–663
Bruckenberger E (1999) Herzbericht 1999 mit Transplantationschirurgie. 12. Bericht des Krankenhausausschusses der Arbeitsgemeinschaft der obersten Landesgesundheitsbehörden der Länder (AOLG), Hannover 2000
Chidambaram M, Abdulali SA, Baliga BG, Ionescu MI (1987) Long-term results of DeVega tricuspid annuloplasty. Ann Thorac Surg 43: 185–188
Christenson JT, Jordan B, Bloch A, Schmuziger M (2000) Should a regurgitant mitral valve be replaced simultaneously with a stenotic aortic valve? Tex Heart Inst J 27: 350–355
Grayburn PA (1992) Hemodynamic assessment of aortic stenosis. Am J Med Sci 303: 345–354
Horstkotte D, Loogen F, Kleikamp G, Schulte HD, Trampisch HJ, Bircks W (1983) Effect of prosthetic heart valve replacement on the natural course of isolated mitral and aortic as well as multivalvular diseases. Clinical results in 783 patients up to 8 years following implantation of the Bjork-Shiley tilting disc prosthesis. Z Kardiol 72: 494–503
Horstkotte D, Bergemann R, Oelert H, Schulte HD, Laas J, Zerkowski HR (1998) Increased acceptance of the International Normalized Ratio (INR) as a monitoring parameter of oral anticoagulation therapy in Germany. GELIA Study Group. Z Kardiol 87: 837–843
King RM, Schaff HV, Danielson GK, Gersh BJ, Orszulak TA, Piehler JM, Puga FJ, Pluth JR (1984) Surgery for tricuspid regurgitation late after mitral valve replacement. Circulation 70: I193–I197
Kirklin JW, Barrat-Boyes BG (eds) (1986) Cardiac surgery. J Wiley, New York, p 328
Kirklin JK, Naftel DC, Blackstone EH, Kirklin JW, Brown RC (1989) Risk factors for mortality after primary combined valvular and coronary artery surgery. Circulation 79: I185–I190
Lund O, Nielsen TT, Pilegaard HK, Magnussen K, Knudsen MA (1990) The influence of coronary artery disease and bypass grafting on early and late survival after valve replacement for aortic stenosis. J Thorac Cardiovasc Surg 100: 327–337
Peltola T, Lepojarvi M, Ikaheimo M, Karkola P (1996) De Vega's annuloplasty for tricuspid regurgitation. Ann Chir Gynaecol 85: 40–43
Rehn J (1987) Indications, one of the critical principles of trauma surgery. Unfallchirurg 90: 401–406
Simon R, Oelert H, Borst HG, Lichtlen PR (1980) Influence of mitral valve surgery on tricuspid incompetence concomitant with mitral valve disease. Circulation 62: I152–I157
Stephenson LW, Edie RN, Harken AH, Edmunds LH Jr (1984) Combined aortic and mitral valve replacement: changes in practice and prognosis. Circulation 69: 640–644
Tam JW, Masters RG, Burwash IG, Mayhew AD, Chan KL (1998) Management of patients with mild aortic stenosis undergoing coronary artery bypass grafting. Ann Thorac Surg 65: 1215–1219
Teoh KH, Christakis GT, Weisel RD, Tong CP, Mickleborough LL, Scully HE, Goldman BS, Baird RJ (1987) The determinants of mortality and morbidity after multiple-valve operations. Ann Thorac Surg 43: 353–358
Turina J, Milincic J, Seifert B, Turina M (1998) Valve replacement in chronic aortic regurgitation. True predictors of survival after extended follow-up. Circulation 98 (Suppl 19): II100-7–7
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zerkowski, HR., Preiß, M. Mehrfachklappenerkrankungen — differenzialtherapeutische Überlegungen. Z Kardiol 90 (Suppl 6), 65–69 (2001). https://doi.org/10.1007/s003920170010
Published:
Issue Date:
DOI: https://doi.org/10.1007/s003920170010