Document Detail

Aortic valve replacement in patients with previous cardiac surgery.
MedLine Citation:
PMID:  15245459     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Aortic valve replacement in patients following previous cardiac surgery can be accomplished with acceptable mortality and morbidity. Routine replacement of aortic valves that are minimally diseased during coronary artery bypass grafting may not be warranted.
Cary W Akins; Alan D Hilgenberg; Gus J Vlahakes; Joren C Madsen; Thomas E MacGillivray
Related Documents :
142959 - Reconstruction of the right ventricular outflow tract with a conduit in congenital hear...
3950229 - Noninvasive assessment of valve area in patients with aortic stenosis.
1078769 - A new application of counterpulsation: safer laparotomy after recent myocardial infarct...
15245459 - Aortic valve replacement in patients with previous cardiac surgery.
10644609 - Modified heart-lung preparation for the evaluation of systolic and diastolic coronary f...
15747039 - Quantification of aortic valve area and left ventricular muscle mass in healthy subject...
18931029 - Impact of 6-mo caloric restriction on myocardial ischemic tolerance: possible involveme...
11834359 - Successful explantation of a ventricular assist device following fulminant influenza ty...
3580019 - The effects of ubidecarenone derivatives on the action of phospholipase.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  19     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-07-12     Completed Date:  2004-11-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  308-12     Citation Subset:  IM    
Cardiac Surgical Unit, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aortic Valve / surgery*
Coronary Artery Bypass*
Coronary Disease / surgery*
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation / methods*,  mortality
Postoperative Complications*
Stroke / etiology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Redo mitral valve surgery-a long-term experience.
Next Document:  Off-pump surgery and alternatives to standard operation in redo coronary surgery.