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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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[The surgical experiences and risk factors of combined valvular procedure and myocardial revascularization]

Q Wu1, Q Meng, S Hu

  • 1Department of Cardiovascular Surgery, Fu Wai Hospital, PUMC & CAMS, 100037, China.

Zhonghua Yi Xue Za Zhi
|January 19, 2002
PubMed

Insights

Combined valve surgery and coronary artery bypass grafting (CABG) can improve heart function but increases operative mortality. Key success factors include complete revascularization and effective myocardial protection.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Surgery
  • Coronary Artery Bypass Grafting

Context:

  • The study examines the combined procedure of valve surgery and CABG.
  • A cohort of 76 patients (61 men, 15 women; mean age 56) underwent this combined procedure.
  • The primary etiologies were rheumatic disease (67 patients) and degenerative valve disease (9 patients).

Purpose:

  • To report the experience and outcomes of combined valve procedures and CABG.
  • To analyze risk factors associated with operative mortality in this patient group.

Summary:

  • The combined procedure involved various valve interventions (AVR, MVR, BVR, MVP) alongside CABG.
  • Operative mortality was 7.89% (6 deaths).
  • Follow-up in 63 survivors showed significant improvement in cardiac function for 62 patients.

Impact:

  • Combined valve replacement/repair with CABG generally increases operative mortality.
  • Preoperative myocardial infarction, NYHA class IV, lower ejection fraction (EF), and longer cardiopulmonary bypass (CPB) and aortic clamping times are linked to hospital mortality.
  • Successful outcomes depend on complete grafting of coronary lesions, restored valvular function, and robust myocardial protection.
Abstract

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