title: [Repeated valvular replacements. Apropos of 64 cases].
abstract: In a series of 833 operations with implantation of 1011 prosthetic valves there were 64 reoperations on 44 patients, an incidence of 7.6%. In almost 50% of the cases, reoperation was motivated by desinsertion. The incidence of desinsertions increased with the number of reoperations. In 40% of the cases, desinsertion was caused by endocarditis. The degeneration of bioprosthetic valves was rapid in children. Thromboembolic accidents occurred in patients with mitral valve mechanical prosthesis. Peri-operative mortality due to left ventricular dysfunction was 9%. Mortality rate was high after reoperation for endocarditis on a desinserted prosthetic valve. Surveillance and prevention of bacterial endocarditis remain of paramount importance.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001705:Bioprosthesis; D002648:Child; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis; D006461:Hemolysis; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation / Q000401:mortality; D013514:Surgical Procedures, Operative / Q000401:mortality; D013923:Thromboembolism / Q000209:etiology / Q000601:surgery
vernacular_title: Les remplacements valvulaires itératifs. A propos de 64 cas.