[Surgical correction of combined insufficiency of mitral, tricuspid and aortic valves].

In 39 patients the correction of insufficiency of mitral, tricuspid and aortic valves were performed by cardiopulmonary bypass. Genesis of valve diseases was rheumatism. Correction of tricuspid valve insufficiency was performed by annuloplasty with one or two hemiarch sutures by N. M. Amosov--De Vega method. Correction of mitral and aortic valve diseases included double valve replacement--in 37 (94.9%) patients, mitral valve replacement and plication of aortic cusp by Trusler's method--in 2 (5.1%). From 39 consecutive operated patients at the hospital period 15 died. The main reason of death was acute heart failure. The late results were followed-up in 21 patients. The good result were marked in 6 (28.6%) patients, satisfactory one--in 6 (28.6%) and unsatisfactory--in 1 (4.8%). 8 (38.1%) patients were died during 1 till 8 years. Correction of combined insufficiency lead to high hospital mortality and there were not good results of survival and good results stability at the late period.