Key result
Combined CABG-AVR carries a ~6% overall mortality rate over two years.
Why the study?
Co-presentation with coronary and valve diseases is increasing as the age of individuals referred for coronary intervention rises, warranting evaluation of outcomes with combined CABG and AVR.
What is the mortality rate of combined coronary artery bypass grafting and aortic valve replacement (CABG-AVR) in patients with co-presenting coronary and valve diseases?
Observational (n=62)
No
What is the mortality rate of combined coronary artery bypass grafting and aortic valve replacement (CABG-AVR) in patients with co-presenting coronary and valve diseases?
Combined CABG-AVR can be performed with an overall mortality rate of 6.4% at 2 years, which the authors consider comparable to isolated procedures.
Introduction: Co-presentation with both coronary and valve diseases is increasing as the age of the individuals referred for coronary artery intervention rises. The study aims to report a single center experience in combined coronary artery bypass grafting and aortic valve replacement (CABG-AVR). Methods: This is a retrospective study from January 2014 till January 2019 in a single center. Inclusion criteria included those patients that underwent combined coronary and aortic valve procedure in a single operation. The data were collected from the hospital registry. All patients underwent preoperative coronary angiography, transthoracic echocardiography (TTE), Doppler study was performed for those patients with previous stroke and peripheral vascular diseases. The cases were followed up for a mean duration of 2 years. Result: The study included 62 patients, 38 of them were males, the mean age was 57 years. Prosthetic mechanical valves were inserted in all of the cases, left internal mammary artery (LIMA) was harvested in all the cases, 24 patients (38.7%) had single graft, 26 cases (41.9%) two grafts, and 12 (19.3) had three grafts. The mean cross clamp time was 148.9 min and mean cardiopulmonary bypass (CPB) time was 187 min. The overall mortality rate was 6.4% (4 patients). Conclusion: With maximum myocardial protection and minimum cross clamp and CPB time and meticulous technique, the outcome of combined CABG-AVR is comparable with isolated CABG or isolated AVR. Highlights:
No takes yet. Share an insight, caveat, or question.
Ahmed et al. (2019) conducted an observational in Combined coronary and aortic valve disease (n=62). Combined coronary artery bypass grafting and aortic valve replacement (CABG-AVR) was evaluated on Overall mortality. Combined coronary artery bypass grafting and aortic valve replacement (CABG-AVR) resulted in an overall mortality rate of 6.4% over a mean follow-up of 2 years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: