title: [One-stage operations in pathology of the heart valves and coronary vessels and other general surgical diseases in 124 patients].
abstract: Over the last ten years (1984-1994), 124 patients undergo one-stage operations for diseases of the heart valves and coronary arteries and other surgical conditions. This makes 3.38 per cent of the total of 3661 patients subjected to open-heart surgery in the observation period. The indications for undertaking surgical treatment in the series of 124 patients reviewed are classified in three groups, as follows: Group A. Life-threatening conditions due to concomitant surgical disease (bleeding from the gastrointestinal tract, acute calculus cholecystitis, obstructive jaundice, peritonitis, end-stage pregnancy)--16 patients. Group B: Serious non-heart surgical diseases (malignancy, hypersplenism, aneurysm of the abdominal aorta)--47 patients. Group C. Non-heart diseases giving rise to serious complaints and life style deterioration (advanced inguinal hernia, hiatal hernia with gastroesophageal reflux, duodenal ulcus, thyroidism, etc.)--61 patients. The early postoperative mortality and complications rates--2.41 per cent and 3.22 per cent, respectively--do not differ essentially from those in patients with open-heart surgery alone. One-stage surgical procedures after careful assessment of the indications are recommended.
mesh_terms: D000328:Adult; D000368:Aged; D001021:Aortic Valve; D002031:Bulgaria / Q000453:epidemiology; D003327:Coronary Disease / Q000401:mortality / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000401:mortality / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D013514:Surgical Procedures, Operative / Q000401:mortality; D014261:Tricuspid Valve
vernacular_title: Ednoetapni operatsii pri patologiia na klapniia aparat i koronarnite sŭdove na sŭrtseto i drugi obshtokhirurgichni zaboliavaniia pri 124 bolni.