title: [Development and results of valve replacement surgery at the Városmajor Clinic 1976-1990 (retorospective clinical analysis)].
abstract: In Hungary valve replacement is still a major indication for heart surgery in adults. In the Cardiovascular Surgical Clinic of Semmelweis Medical University of Budapest from 1976 to 1990 2435 patients were operated for valve disease. Majority of the cases had single (aortic n = 856, mitral n = 912) or double (aortic + mitral n = 513) valve replacement. Over this 15 years period there have been many alterations in patients characteristics and surgical technique as well. In spite of the increasing mean age of patients the operative mortality has decreased (in the last 5 years period it was 2.7%, 5.5% and 7.9% in the three groups respectively). At the same time the number of patients requiring valve re-replacement or combined valve + coronary procedure has increased. The use of bioprosthetic valves has fallen below 10 percent from the 60--80 percent observed between 1976--1980. The analysis showes excellent surgical results in the field of valve replacement in Hungary.
authors.affiliation: Semmelweis Orvostudományi Egyetem, Er- és Szívsebészeti Klinika, Budapest.
authors.forename: L
authors.initials: L
authors.lastname: Papp
authors.forename: A
authors.initials: A
authors.lastname: Kollár
authors.forename: F
authors.initials: F
authors.lastname: Rényi-Vámos
authors.forename: T
authors.initials: T
authors.lastname: Gyöngy
authors.forename: F
authors.initials: F
authors.lastname: Horkay
authors.forename: L V
authors.initials: LV
authors.lastname: Hermes
authors.forename: E
authors.initials: E
authors.lastname: Moravcsik
authors.forename: E
authors.initials: E
authors.lastname: Bodor
authors.forename: Z
authors.initials: Z
authors.lastname: Szabolcs
authors.forename: Z
authors.initials: Z
authors.lastname: Szabó
mesh_terms: D006348:Cardiac Surgical Procedures / Q000266:history*; D006350:Heart Valve Prosthesis / Q000266:history*; D049673:History, 20th Century; D006801:Humans; D006814:Hungary; D012189:Retrospective Studies
vernacular_title: A szívbillentyü-sebészet fejlödése és eredményei a Városmajori Klinikán 1976-1990 (retrospektív klinikai analízis).