Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Aortocoronary Bypass Surgery Concomitant with Cardiac Valve Replacement

심장판막 치환술을 병행한 관상동맥 질환의 수술

  • Kim, Kyung-Hwan (Department of Thoracic & cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Chae, Hurn (Department of Thoracic & cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Rho, Joon-Ryang (Department of Thoracic & cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김경환 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 채헌 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 노준량 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Published : 1994.03.01
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Abstract

Between March, 1989, and August, 1993, 10 patients underwent aortocoronary bypass surgery concomittant with cardiac valve replacement. They were 6 men and 4 women, the age ranging from 47 to 64. 7 patients underwent single valve replacement and 2 patients underwent double valve replacement, Another one patient underwent only CABG one year after valve replacement and he had no evidence of prosthetic valve failure. Total number of graft vessels were.15,14 were saphenous venous grafts and 1 was internal mammary artery graft. Dyspnea on exertion was frequent symptom and was found in all patients. 8 patients presented stable angina, only 1 patient presented postinfarct angina and another 1 patient presented no angina symptom. The graft was placed prior to valve replacement and periods of myocardial ischemia were kept at a minimum by maintaining coronary perfusion throughout operation. Postoperative course was uneventful and there was no hospital mortality, as was supported by many reports, it is our opinion that simultaneous valve replacement and aortotomy bypass graft does not increase the risk of cardiac valve replacement substantially.

Keywords

References

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