[Surgical correction of combined rheumatic mitral-aortal failure of the heart complicated by constrictive pericarditis].

The results of treatment of 91 patients with rheumatic combined mitral-aortal failure of the heart, complicated by adhesive pericarditis, were analyzed. The change of two cardiac valves was done in majority of patients. The heart mobilization from adhesions constitutes the peculiarity of correction performed, securing safe defense of myocardium. The hospital mortality was higher when mobilization from adhesions was performed for right divisions of the heart only, in comparison with that procedure done for left divisions of the heart as well. The method of cardioplegic solution perfusion via coronarius sinus is more adequate, comparing with the antegrade one, it secures the lower hospital mortality due to more even distribution of the solution in tissues while lower serving pressure present. Hospital mortality is caused mainly by cardiovascular insufficiency and the CNS affection. In the late period the frequency of good results is relatively not high.