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Title: Effectiveness evaluation of concomitant aortic valve replacement and coronary artery bypass grafting
Abstract:
Concomitant aortic valve replacement and coronary artery bypass grafting (AVR+CABG) is the most frequent combined operation in cardiac surgery.The aim of this study was to compare the surgical outcome of two groups of patients who underwent combined AVR and CABG (AVR+CABG group) and AVR alone (AVR group) and to assess the influence of significant concomitant CAD requiring CABG in patient qualified to AVR. Perioperative data of patients who underwent AVR+CABG (104 pts.) or AVR alone (97 pts.) were retrospectively analysed. Early postoperative outcomes and long-term survival were compared between both groups.Patients in AVR+CABG group were older, prevailed male sex and had more comorbidities.There were no statistically significant differences between both groups in terms of postoperative complication rate (only patients in AVR+CABG group required more FFP transfusion and had bigger drainage). Either 30-day mortality 3,85 and 2,06% or 10-years survival rate 62,59 and 71,13% for AVR+CABG and AVR group respectively also did not differ significantly between groups. Patients in AVR+CABG group with left ventricular hypertrophy had statistically significant worse 10-years survival comparing to counterparts in AVR group.There were no significant influence of either complete revascularisation or grafting left internal mammary artery vs venous graft to left anterior descendens on late surv ; ival within AVR+CABG group.The surgical results and long-term survival rates are acceptable for patients with aortic stenosis undergoing a combined aortic valve replacement and coronary artery bypass grafting.
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Last modified:
Mar 16, 2023
In our library since:
Mar 22, 2017
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15
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http://dl.cm-uj.krakow.pl:8080/publication/4152
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| Edition name | Date |
|---|---|
| ZB-126041 | Mar 16, 2023 |
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