[Considerations in determining indication for valvular surgery].

  title={[Considerations in determining indication for valvular surgery].},
  author={Susumu Shiguma and Atsuro Takeuchi and Shigeru Sasaki and Masayoshi Ozeki and Kunio Asada and Katsuhiko Kuroda and Shotaro Kakimoto},
  journal={Nihon Geka Gakkai zasshi},
  volume={89 9},
Between 1970 and 1987 valvular operations with cardiopulmonary bypass were performed on 636 patients, with an overall early mortality of 7.5%. To determine the critical indication for valvular surgery, preoperative clinical characteristics were examined by comparing 35 patients, who had died of surgery because of low cardiac output syndrome or multiple organ failure, with operative survivors. The multivariable logistic analyses demonstrated that NYHA functional class IV, multiple valvular… CONTINUE READING