Key result
Aortic valve replacement through redo full sternotomy in high-risk patients with patent coronary grafts was discussed as a potential gold standard treatment with lower risk than anticipated.
A commentary discussing the surgical approach for isolated aortic valve replacement in high-risk patients with patent coronary grafts.
We read with interest the paper of Khaladj and co-workers [1]. The authors performed AVR through redo full sternotomy on 39 patients with still patent coronary grafts (30 LIMA grafts). On the basis of their results the authors showed that high risk patients can be operated with lower risk than anticipated by EuroSCORE risk stratification. They conclude that: ‘old fashioned surgical approach should still be considered the gold standard of treatment for high risk AVR’. We would like to analyse two aspects:
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Lentini et al. (2009) conducted a letter in Aortic valve replacement with patent coronary grafts (n=39). Aortic valve replacement through redo full sternotomy was evaluated. Aortic valve replacement through redo full sternotomy in high-risk patients with patent coronary grafts was discussed as a potential gold standard treatment with lower risk than anticipated.
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