Redo Valve Surgery Nowadays: What Have we Learned ?

Re-operative valvular surgery is common nowadays. Increased mortality and morbidity are generally associated. Re-operations in cardiac surgery are technically more difficult because of adhesions and a more advanced cardiac status of the patient. Results reported 20 years ago carried a high mortality...

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Bibliographic Details
Published in:Acta chirurgica belgica 2003, Vol.103 (5), p.475-480
Main Authors: Wauthy, P., Goldstein, J.P., Demanet, H., Deuvaert, F.E.
Format: Article
Language:English
Subjects:
adult
Biological and medical sciences
Cardiology. Vascular system
Endocardial and cardiac valvular diseases
Heart
heart valve disease
Heart Valve Diseases - surgery
heart valve prosthesis
Heart Valve Prosthesis Implantation - methods
Heart Valve Prosthesis Implantation - mortality
hospital mortality
Humans
Medical sciences
Postoperative Complications - etiology
Postoperative Complications - mortality
Re-operation
Reoperation
Risk Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Treatment Outcome
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Summary:Re-operative valvular surgery is common nowadays. Increased mortality and morbidity are generally associated. Re-operations in cardiac surgery are technically more difficult because of adhesions and a more advanced cardiac status of the patient. Results reported 20 years ago carried a high mortality risk. Experience and technological evolution have produced a substantial reduction in postoperative mortality nowadays. The present review focuses on historical results of redo valve surgery, risks factors for postoperative mortality, technical progress and surgical strategies contributing to better results.
ISSN:0001-5458
DOI:10.1080/00015458.2003.11679470