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(Circulation. 1962;26:484.)
© 1962 American Heart Association, Inc.

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Operative Results in Aortic Valve Surgery

EARLE B. KAY M.D.¹; AKIO SUZUKI M.D.¹; DAVID MENDELSOHN JR. M.D.¹

¹ From the Departments of Surgery and Anesthesia, St. Vincent Charity Hospital, Cleveland, Ohio.

An analysis of the surgical management in relation to factors contributing to morbidity, mortality, and results in 90 patients having artificial valvular replacement for diseased aortic valves is presented. Twenty-four factors occurred in 15 patients which were responsible either alone or in combination for the deaths. These factors fell into five main groups related to the patient, the heart, the myocardial protection, the general body protection, and the valve. Most of these factors contributing to death are preventable. Therefore, the over-all operative mortality of 16 per cent should be materially reduced in the future.