Population
871 patients with isolated advanced rheumatic heart disease, mean age 42+/-11 years, 217 men and 654 women.
Design
Cohort
Follow-up
up to 10 years
Authors
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Supports triple valve surgery in advanced rheumatic disease; leaves open whether earlier intervention improves outcomes.
Primary triple valve surgery for advanced rheumatic heart disease provides satisfactory long-term survival and symptomatic improvement, though early surgical treatment before NYHA class IV or LVEF deterioration is recommended to improve outcomes.
Han et al. (2007) studied this question.
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