scholarly journals Eight-year cohort study of octogenarians undergoing aortic valve replacement with or without concurrent coronary artery bypass grafting

2015 ◽  
Vol 24 ◽  
pp. S413
Author(s):  
T. Wang ◽  
D. Choi ◽  
T. Ramanathan ◽  
P. Ruygrok
Author(s):  
Christopher Lau ◽  
Leonard N. Girardi

Aortic valve replacement and/or coronary artery bypass grafting (CABG) have become the most common cardiac procedures as the population ages and life expectancy increases. In isolation, both CABG and aortic valve replacement are performed with excellent outcomes throughout the world with operative mortalities of 1–2%. Both procedures have seen significant advances in recent years. The combination of an aortic valve procedure and CABG adds increased complexity and risk, which must be accounted for during operative planning in order to mitigate as much of the increased risk as possible. Improvements in postoperative care, myocardial protection, and operative techniques for combined CABG and aortic valve replacement have resulted in an operative mortality of 0.8–6.4% in recent series.


Author(s):  
Clifton T. P. Lewis ◽  
Richard L. Stephens ◽  
Jennifer L. Cline ◽  
Charles M. Tyndal

An 89-year-old man and an 80-year-old woman were treated surgically for critical aortic stenosis secondary to senile calcific aortic disease and high-grade calcified lesions in the ostium of the right coronary artery. Minimally invasive aortic valve replacement and concurrent coronary artery bypass grafting were performed concurrently through a 5-cm right anterior thoracotomy in the second intercostal space. Surgery was uncomplicated in both cases, with no adverse events. Both patients were alive and well at midterm follow-up. Concurrent minimally invasive aortic valve replacement and coronary artery bypass grafting can be performed successfully through a limited right anterior thoracotomy.


Sign in / Sign up

Export Citation Format

Share Document