Đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật thay van hai lá cơ học tại bệnh viện Hữu Nghị Việt Đức

413 patients were operated with mitral valve replacement at Viet Duc Hospital (Using Saint Jude Master mechanical valve) from 2006 to 2010: Mean age 45.03 + or - 10.73, in which female 56.4 percent and 42.5 percent of them within reproductive period. Prevalence of reoperated and operated after other catherterizations like percutaneous baloon valvulotomy; open valvulotomy; mitral valve repair/replacement was high. Most of patients went to hospital in severe state. Results of surgery: Mortality rate was low, early 0.24 percent and mid-term 1.78 percent; Morbidity rate was relatively low: bleeding-reoperation 2.18 percent; mechanical valve obstruction 0.24 percent; Improved clinical features: NYHA decended from 2.03 + or - 0.48 to 1.75 + or - 1.14. Improved laboratory findings: Pulmonary pressure decended from 49.27 + or - 15.26mmHg to 33.18 + or - 6.94mmHg; Maximum mitral valve gradient decended from 18.09 + or - 7.57mmHg to 10.65 + or - 3.40mmHg.