Aortic valve replacement in patients with previous cardiac surgery

Journal of Cardiac Surgery
C W AkinsThomas E MacGillivray

Abstract

Whether minimally diseased aortic valves should be replaced during other necessary cardiac operations remains controversial. Part of the decision-making process in that issue revolves around the risks of subsequent aortic valve replacement. This study evaluated the results of aortic valve replacement in patients following prior cardiac surgery. From February, 1984 through December, 2001 first-time aortic valve replacement was performed in 132 consecutive patients who had previous cardiac surgery utilizing cardiopulmonary bypass. Of those patients 89 (67%) had aortic valve replacement at a mean of 8.3 years after prior coronary artery bypass grafting, and 43 (33%) had aortic valve replacement at a mean of 13.0 years after previous procedures other than myocardial revascularization. Hospital records of all patients were retrospectively reviewed. Early complications included operative mortality in six (6.7%) of the patients with prior coronary grafting and no mortality in the group with other prior operations. Patients having prior coronary grafting had more nonfatal complications than those with other previous procedures. Aortic valve replacement in patients following previous cardiac surgery can be accomplished with acceptable m...Continue Reading

References

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Citations

May 9, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gonçalo S PaupérioManuel J Antunes
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Piroze M DavierwalaTerrence M Yau
Apr 22, 2009·The Annals of Thoracic Surgery·Markus KraneRüdiger Lange
Dec 17, 2009·The Journal of Thoracic and Cardiovascular Surgery·Damien J LaParGorav Ailawadi
Mar 7, 2006·The Journal of Thoracic and Cardiovascular Surgery·J Scott RankinFred H Edwards

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