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European Heart Journal 1987 8(6):643-646;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Management of multivalvular heart disease*

S. Nitter-Hauge and D. Horstkotte

Rikshospitalet, Medical Department B, University of Oslo, N-0027 Oslo, Norway and Department of Medicine, University of Dusseldorf D-4000 Dusseldorf, F.R.G.

Received 18 February 1987; .

Address for correspondence: S. Nitter-Hauge, M.D., Medical Department B, Rikshospitalet, University of Oslo, N-0027 Oslo, Norway

Abstract

Compared to single valve replacement, multivalvular procedures— which in the great majority of cases are mitral-aortic valve implantations— represent a major technical challenge as they theoretically increase the risk of early and late complications, related to or induced by the artificial device. In the earlier years of valve replacement surgery, there were therefore restrictions on double and especially triple valve replacement, and such surgery was often postponed. This gives sufficient cause to review the present incidence of complications and reoperation rates and the operative risk in multivalvular procedures.

Key Words: Multivalvular disease • mortality with multivalvular procedures • prosthetic valve related complications


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