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[Combined valvular and coronary artery surgery]
K Saida1, M Yamada, H Yokokama
1Department of Surgery, Showa University School of Medicine.
Insights
This study shows that combining myocardial revascularization with valve surgery significantly improves heart function and quality of life for patients with severe heart conditions. Outcomes demonstrate reduced symptoms and enhanced cardiac performance post-operation.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Surgery
- Coronary Artery Bypass Grafting
Abstract:
We report 14 consecutive patients who have undergone myocardial revascularization combined with valve surgery during 7 years (1983-1989). There were 7 males and 7 females with a mean age of 53.8 years. All patients had congestive heart failure and 7 had angina pectoris. Coronary angiography revealed single-vessel disease in 6 patients, double-vessel disease in 5, triple-vessel disease in 3. Mitral regurgitation was predominant in 5, aortic regurgitation in 5, mitral stenosis in 3 and aortic stenosis in 1. The indicated operations were: valve replacement in 12 and mitral anuloplasty in 2 with coronary artery bypass grafting (mean 1.6). One operative and 1 late death were seen in our series, however, NYHA functional class was improved from 3.4 to 1.7 postoperative. Postoperative evaluation by UCG showed good recovery of cardiac function (EF, MVcf, LVEDV, CI). No angina pectoris was evident in surviving patients, the quality of life was significantly improved.