| Surgical options for beating-heart aortic valve replacement in patients with patent coronary artery bypass. | |
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MedLine Citation:
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PMID: 17578041 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND AIM of the study: The study aim was to assess the surgical options and advantages of beating-heart aortic valve replacement (AVR) in patients with patent coronary artery bypasses. METHODS: In this prospective study, conducted between January and August 2006, four consecutive patients (mean age 77.5 +/- 6.6 years) each with patent coronary artery bypasses, underwent beating-heart AVR using two specific methods of myocardial perfusion based on the origin and status of the grafts, as assessed by preoperative angiography. Pre-operatively, all patients were in NYHA functional class III, and each received an aortic valve bioprosthesis. RESULTS: There were no hospital deaths. The mean duration of ICU stay was 3.2 +/- 1.3 days. One patient presented with transitory atrial fibrillation. At discharge, echocardiography confirmed normally functioning bioprostheses, with no significant transprosthetic gradient. CONCLUSION: Beating-heart AVR with patent coronary artery bypasses using continuous myocardial perfusion is a reliable, simple and effective technique to reduce the risks of graft and myocardial injuries, and to achieve optimal preservation of the hypertrophic myocardium with coronary artery disease. |
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Authors:
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Daniel Grandmougin; Maria-Christina Delolme; David Derouck; Nabil Yammine; Christophe Minetti; Mohamad Rahmati; Daoud Suleiman; Gaétan Genco; Pierre-Michel Roux |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of heart valve disease Volume: 16 ISSN: 0966-8519 ISO Abbreviation: J. Heart Valve Dis. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-06-20 Completed Date: 2007-07-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9312096 Medline TA: J Heart Valve Dis Country: England |
Other Details:
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Languages: eng Pagination: 235-9 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Hôpital Bon-Secours, Metz, France. d.grandmougin@tiscali.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aortic Valve / transplantation* Aortic Valve Stenosis / surgery Bioprosthesis* Coronary Artery Bypass Coronary Circulation Heart Valve Prosthesis* Heart Valve Prosthesis Implantation / methods* Humans Intensive Care Units Length of Stay Male Myocardial Reperfusion / methods Prospective Studies Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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