[Diagnostic value of the conventional chest X-ray for the assessment of the hemodynamics after combined aortic and mitral valve replacement].
Conventional roentgenograms of 25 patients who underwent combined aortic and mitral valve replacement were evaluated and correlated with pre- and postoperative functional and haemodynamic parameters. The roentgenograms were obtained 6 months before and up to 25 months after valve replacement. A reduction in heart size could be seen in nearly all patients. This was independent of clinical and haemodynamic results. An increase in heart size always suggests severe haemodynamic worsening, especially a paravalvular leakage. The most valuable x-ray sign is the degree of pulmonary congestion, which is well correlated with the cardiac index.
D000328:Adult; D001021:Aortic Valve / Q000601:surgery; D001794:Blood Pressure; D006332:Cardiomegaly / Q000000981:diagnostic imaging; D005260:Female; D006350:Heart Valve Prosthesis; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D011651:Pulmonary Artery / Q000502:physiology; D011654:Pulmonary Edema / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic
Diagnostische Aussagekraft der Nativröntgendiagnostik für die Beurteilung der Hämodynamik nach kombiniertem Aortenmitralklappenersatz.