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Surgical management of coexisting coronary artery and valvular heart disease

Authors
 Sak Lee  ;  Byung-Chul Chang  ;  Kyung-Jong Yoo 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(3) : 326-331, 2010 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2010
MeSH
Adult ; Age Factors ; Aged ; Coronary Artery Bypass/methods* ; Coronary Artery Disease/mortality ; Coronary Artery Disease/surgery* ; Coronary Vessels/pathology ; Coronary Vessels/surgery ; Female ; Heart Valve Diseases/mortality ; Heart Valve Diseases/surgery* ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Sex Factors ; Treatment Outcome
Keywords
Coronary artery disease ;  coronary artery bypass ;  valvular diseases
Abstract
PURPOSE: Combined coronary artery bypass (CAB) and valve surgery is one of the most challenging surgical procedures, but the operative results have improved over the years. MATERIALS AND METHODS: From 1989 through 2004, combined CAB and valve operations were performed in 125 patients. Mean age was 63 years, and 86 patients were male. Forty-six patients were diagnosed with coronary artery disease during preoperative evaluation for valvular heart disease (VHD). All patients underwent CAB, and one or more underwent valve replacement or repair (mitral: 54, aortic: 61, tricuspid: 3, DVR: 7) simultaneously. RESULTS: Mean number of distal graft was 1.98 +/- 1.07, and LIMA was used in 68% of patients. Early mortality occurred in 6 patients (4.8%), and the causes were heart failure (4) and sepsis (2). Mean follow-up duration was 91.4 +/- 40.9 months (range: 47-245), and late mortality occurred in 4 patients. Kaplan Meier estimated survival rates at 1, 5, and 10 years were 94.4 %, 92.3%, and 89.9%, respectively. CONCLUSION: Combined coronary and valve operations can be performed safely with optimal surgical results. Although the surgical mortality of coexisting coronary and VHD is higher than either isolated coronary or valvular operations, it may not affect the long-term survival
Files in This Item:
T201001058.pdf Download
DOI
10.3349/ymj.2010.51.3.326
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Lee, Sak(이삭) ORCID logo https://orcid.org/0000-0001-6130-2342
Chang, Byung Chul(장병철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100941
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