par Primo, Georges
Référence Archives des maladies du coeur et des vaisseaux, 66, 4, page (509-513)
Publication Publié, 1973
Article révisé par les pairs
Résumé : Aortic valve diseases are either of congenital etiology or secondary to rheumatic, subacute bacterial or degenerative involvement. Lesions, even severe ones, might be symptomless, often for prolonged periods. The indications for surgical treatment are based on well defined clinical, radiological, electrocardiographic and hemodynamic criteria. The existence of dyspnea, angina, and pulmonary edema indicates immediate surgical treatment. With the exception of congenital stenoses which are curable by conservative operations, all the other aortic valve diseases when they reach the surgical stage, require valve replacement by an artificial or a biological valve. Because of the imperfection of these valvular substitutes, this treatment should be considered as palliative and as such be confined to the treatment of lesions which endanger patients' life. In spite of these restrictions, valve replacement constitutes an important progress in the treatment of aortic valve diseases.