Related Experiment Video

Updated: May 25, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

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

Published on: May 21, 2017

Aortic Valve Replacement for Aortic Stenosis and Concomitant Coronary Artery Bypass: Long-term Outcomes and

Won-Chul Cho1, Dong-Gon Yoo, Joon-Bum Kim

  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.

The Korean Journal of Thoracic and Cardiovascular Surgery
|January 21, 2012
PubMed

Insights

Coronary artery bypass grafting (CABG) with aortic valve replacement (AVR) for aortic stenosis shows acceptable surgical outcomes. Key predictors of mortality include patient age, reduced glomerular filtration rate (GFR), and left ventricular (LV) mass.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Aortic Stenosis Management

Background:

  • Aortic stenosis frequently necessitates aortic valve replacement (AVR).
  • Coronary artery disease (CAD) often coexists with aortic stenosis.
  • Combined AVR and coronary artery bypass grafting (CABG) is a complex surgical procedure.

Purpose of the Study:

  • To evaluate surgical results of combined AVR and CABG for aortic stenosis.
  • To identify predictors of long-term survival in these patients.
  • To assess the safety and efficacy of this combined surgical approach.

Main Methods:

  • Retrospective analysis of 183 patients undergoing combined AVR and CABG for aortic stenosis (1990-2009).
  • Mean follow-up of 59.8 months with 98.3% follow-up completion.
  • Cox regression analysis used to determine mortality predictors.

Main Results:

  • Low in-hospital mortality rate of 2.7% (5 patients).
  • Long-term survival rates of 91.5% (1 year), 74.8% (5 years), and 59.6% (10 years).
  • Significant mortality predictors identified: advanced age, GFR < 60 mL/min, and increased left ventricular (LV) mass.

Conclusions:

  • Combined AVR and CABG for aortic stenosis and CAD yields acceptable surgical outcomes.
  • Patient age, impaired renal function (GFR < 60 mL/min), and LV mass are critical determinants of long-term survival.
  • Risk stratification using these factors can aid in patient management.
Abstract

Keywords:
Aortic valve stenosisCoronary artery bypass surgeryCoronary artery disease

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

Related Concept Videos

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...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...