Related Experiment Video

Updated: Jun 1, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Safety of same-day coronary angiography in patients undergoing elective aortic valve replacement

Kevin L Greason1, Lars Englberger, Rakesh M Suri

  • 1Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. greason.kevin@mayo.edu

The Annals of Thoracic Surgery
|May 31, 2011
PubMed

Insights

Performing coronary angiography on the same day as aortic valve replacement (AVR) is safe for selected patients. This approach does not increase perioperative risks, including acute kidney injury or death, simplifying care pathways.

Area of Science:

  • Cardiology
  • Nephrology
  • Cardiac Surgery

Background:

  • Coronary artery imaging is a standard prerequisite for most adult patients scheduled for aortic valve replacement (AVR).
  • Optimizing the timing of diagnostic procedures alongside major cardiac surgery is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the safety and impact of performing coronary angiography on the same day as elective aortic valve replacement (AVR).
  • To compare perioperative morbidity and mortality between patients who underwent same-day versus non-same-day coronary angiography before AVR.

Main Methods:

  • A retrospective analysis of 1413 patients undergoing elective AVR between 2000 and 2007.
  • Two propensity-matched groups were created: 321 patients with same-day coronary angiography and 321 with non-same-day angiography.
  • Acute kidney injury was defined using Acute Kidney Injury Network criteria.

Main Results:

  • The same-day and non-same-day groups exhibited comparable baseline characteristics, including age, sex, preoperative creatinine, and ejection fraction.
  • No significant differences were observed in maximum postoperative serum creatinine levels (1.30 vs 1.29 mg/dL) between the groups.
  • Perioperative acute kidney injury (23.4% vs 22.3%) and 30-day mortality (1.6% vs 2.2%) rates were similar in both groups, with no statistically significant differences.

Conclusions:

  • Same-day coronary angiography is a safe strategy for carefully selected patients undergoing elective AVR.
  • This approach does not elevate the risk of perioperative complications or mortality.
  • Integrating coronary angiography with AVR on the same day can streamline care without compromising patient safety.
Abstract

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots12:17

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

Published on: May 21, 2017

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...