Aortic valve replacement for stenosis with or without coronary artery bypass grafting after 2 previous isolated

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Christopher Lee Henry1, Jong Mi Ko, Albert Carl Henry

  • 1Baylor Heart and Vascular Institute (C. L. Henry, Ko, Roberts), Department of Cardiothoracic Surgery (A. C. Henry, Matter), Division of Cardiology, Department of Internal Medicine (Roberts), and Department of Pathology (Roberts), Baylor University Medical Center at Dallas. C. L. Henry is now a freshman at the American University of the Caribbean School of Medicine N.V., St. Maarten, Netherlands Antilles.

Proceedings (Baylor University. Medical Center)
|February 11, 2011
PubMed

Insights

Aortic valve replacement after two coronary artery bypass grafting (CABG) procedures shows significant patient survival. This cardiac surgery benefits patients even with a complex surgical history, offering substantial improvements.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Disease

Background:

  • Aortic valve replacement (AVR) after coronary artery bypass grafting (CABG) is common.
  • Aortic stenosis is the usual indication for AVR in this context.
  • The timing of stenosis development (pre-existing vs. new) is often unclear.

Purpose of the Study:

  • To determine survival rates in patients undergoing AVR after two prior CABG procedures.
  • To evaluate the efficacy of AVR in a complex patient cohort.

Main Methods:

  • Retrospective review of 12 patients who underwent AVR for aortic stenosis.
  • All patients had a history of two previous CABG operations.

Main Results:

  • Only one patient (8.3%) died in the early postoperative period after AVR.
  • Eleven patients (91.7%) experienced substantial improvement.
  • Survival was at least 11 months for 11 patients, with one surviving over 101 months.

Conclusions:

  • Aortic valve replacement is a beneficial procedure for patients with aortic stenosis, even after two prior CABG operations.
  • This complex surgical history does not preclude successful AVR outcomes.
  • AVR offers significant survival and improvement in selected patients with multiple prior cardiac surgeries.

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