Autor:

Behrens, M.; Ennker, J.

Erscheinungsort:

Krankenhaus Arzt 1997;70:1-2, 16-22

Inhalt:

SUMMARY

Since extracorporal circulation was introduced in cardiac surgery, the possibility of differentiate treatment of valvular disease was possible. Almost 45 years ago valvular replacement or complicate valvular reconstruction were not feasible. By introduction of artificial valvular prothesises a great progress was made in the field of valvular cardiac surgery. In this article advantages and disadvantages of different heart valves are illucitated. Another interesting field in valvular surgery are reconstructive valvular operations, in which the preservation of the valve is done by reconstructive surgery. This for the patient safe technique was established in the last twenty years by refinement of diagnostic methods by which judgement of valvular repair can be done intraoperatively.