| Combined valve replacement and myocardial revascularization. Factors influencing early and late results. | |
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MedLine Citation:
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PMID: 6609428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The risk factors involved in simultaneous valve replacement and coronary artery bypass grafting were evaluated in 54 consecutive patients, 42 men and 12 women, aged 22 to 73 years. The predominant valve anomalies were aortic stenosis (30 patients), aortic regurgitation (9), mitral regurgitation (10) and mitral stenosis (5). All the patients had angina. Myocardial infarction had occurred in 22 cases and was impending at the time of operation in 10. The diseased valves were replaced with mechanical prostheses, and on average 2.5 coronary arteries per patient were bypassed with vein or with internal mammary artery grafts. Four of the 54 patients died in association with surgery, and four more during follow-up (0.5-6 years). The operative mortality was 2/39 in the aortic valve group and 2/14 in the mitral valve group. The late mortality was equal in both groups. A relatively small ejection fraction and long aortic cross-clamping were the only factors which attained statistical significance as surgical risks, but mitral regurgitation due to ischaemic papillary muscle dysfunction, advanced rheumatic mitral regurgitation and tight aortic stenosis combined with coronary artery disease also seemed to be indicators of poor prognosis. |
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Authors:
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S Mattila; A Harjula; A Jarvinen; K E Kyllonen; P Tala |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 18 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1984 |
Date Detail:
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Created Date: 1984-06-06 Completed Date: 1984-06-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 49-52 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aortic Valve Aortic Valve Stenosis / complications Combined Modality Therapy Coronary Artery Bypass / mortality* Coronary Disease / complications, radiography, therapy Female Heart Valve Diseases / complications, therapy Heart Valve Prosthesis / mortality* Humans Male Middle Aged Mitral Valve Prognosis Risk |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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