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Surgical management of coexisting coronary artery and valvular heart disease

Sak Lee1, Byung-Chul Chang, Kyung-Jong Yoo

  • 1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, 250 Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea.

Yonsei Medical Journal
|April 9, 2010
PubMed

Insights

Combined coronary artery bypass (CAB) and valve surgery is safe and effective. This study shows optimal surgical results and good long-term survival for patients undergoing these complex procedures.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Thoracic Surgery

Background:

  • Combined coronary artery bypass (CAB) and valve surgery presents significant surgical challenges.
  • Advances in surgical techniques have led to improved outcomes for these complex procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of combined CAB and valve surgery.
  • To assess the early and long-term outcomes of patients undergoing simultaneous CAB and valve operations.

Main Methods:

  • A retrospective review of 125 patients undergoing combined CAB and valve surgery between 1989 and 2004.
  • Patients underwent simultaneous CAB with valve replacement or repair (mitral, aortic, tricuspid, or double valve).
  • Mean follow-up was 91.4 months.

Main Results:

  • Early mortality was 4.8% (6 patients), primarily due to heart failure and sepsis.
  • Late mortality occurred in 4 patients during the follow-up period.
  • Kaplan-Meier survival rates at 1, 5, and 10 years were 94.4%, 92.3%, and 89.9%, respectively.

Conclusions:

  • Combined CAB and valve operations can be performed safely with optimal surgical results.
  • While surgical mortality is higher than for isolated procedures, long-term survival is not significantly affected.
  • These findings support the safety and effectiveness of combined CAB and valve surgery for appropriate patients.
Abstract

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