Multiple Valve Replacement

During the past 5½ years 152 patients have undergone multiple valve replacement in this clinic. The operative mortality is 12% and the late mortality 14%. The late complications and functional results of the 112 survivors are reviewed and discussed. Neither severe cardiovascular symptoms nor unfavorable hemodynamic findings are specific contraindications to an operation; however, irreversible disease coexisting in other organ systems is a possible contraindication. A decrease in recent operative mortality and fewer significant complications suggest that this experience should be extended.