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Ann Thorac Surg 1976;22:389-399
© 1976 The Society of Thoracic Surgeons

Articles

Management of the Patient with a Prosthetic Heart Valve

Francis Robicsek, M.D.*, Norris B. Harbold, Jr., M.D.

Heineman Medical Research Center, Charlotte Memorial Hospital, Charlotte, NC.

* Address reprint requests to Dr. Robicsek, The Sanger Clinic, 1960 Randolph Rd, Charlotte, NC 28207.

Approximately 20,000 heart valve prostheses are inserted yearly in the United States. Even after successful heart operations, the patients who receive them cannot be regarded as healthy individuals but are a special group with special problems who need close medical attention for the rest of their lives. They are susceptible to many unusual complications because of their implanted foreign body, and it is a challenge to all physicians in contact with them to be aware of their peculiar problems in order to prevent complications if possible and to treat them immediately if they occur.

General therapy, surgical complications, infection, and mechanical problems are reviewed, with means for management outlined. These difficulties can be dealt with only by careful follow-up and well-coordinated teamwork between the family physician and the institution where the operation was performed.




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 Ann. Thorac. Surg.Home page
D. Lepley Jr., R. J. Flemma, D. C. Mullen, H. Singh, and S. Chakravarty
Late Evaluation of Patients Undergoing Valve Replacement with the Bjork-Shiley Prosthesis
Ann. Thorac. Surg., August 1, 1977; 24(2): 131 - 139.
[Abstract] [PDF]


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