Document Detail

Concomitant pulmonary valve replacement, VSD closure and coronary artery bypass surgery.
MedLine Citation:
PMID:  9502149     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIMS OF THE STUDY: Although pulmonary valve stenosis may be treated by percutaneous balloon valvulotomy, surgery is preferred in adult patients with dysplastic valves. METHODS: Recently a 50-year-old man with isolated, calcific pulmonary stenosis and concomitant coronary artery disease was referred for surgery. Preoperatively, he suffered from dyspnea (NYHA class I-II) and angina pectoris (CCS class I-II). During catheterization a peak-to-peak gradient of 120 mmHg was measured across the pulmonary valve, while angiography revealed two-vessel coronary artery disease. RESULTS: During surgery, after opening the main pulmonary artery, an unsuspected small ventricular septal defect (VSD) and a severely calcified, altered pulmonary valve were detected. The VSD was closed and the valve replaced with a stentless bioprosthesis; concomitant double coronary artery bypass grafting was performed. The postoperative course was uneventful. CONCLUSIONS: Adult patients with pulmonary valve stenosis and concomitant coronary artery disease can be treated simultaneously by surgery with excellent results. Replacement devices may be homografts, or as in this patient, a stentless xenograft.
M Zytowski; A Sidiropoulos; J Liu; W Konertz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  7     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-04-23     Completed Date:  1998-04-23     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  117-20     Citation Subset:  IM    
Department of Cardiac Surgery, Charite, Humboldt University Berlin, Germany.
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MeSH Terms
Coronary Artery Bypass*
Coronary Disease / complications*,  surgery*
Heart Septal Defects, Ventricular / complications*,  surgery*
Heart Valve Prosthesis Implantation*
Middle Aged
Pulmonary Valve
Pulmonary Valve Stenosis / complications,  surgery*

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

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