Cirugía y Cirujanos

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>Journals >Cirugía y Cirujanos >Year 2012, Issue 6

Payró-Hernández LE, Carmona-Jarquín GA, Careaga-Reyna G
Combined coronary artery bypass-graft surgery and valve surgery. Cardiothoracic surgery department of a High specialty medical unit experience
Cir Cir 2012; 80 (6)

Language: Español
References: 26
Page: 504-509
PDF: 154.88 Kb.

Full text


Background: the combined heart valve surgery and coronary artery by-pass graft surgery has been increased. This combinend procedures have an increased risk of perioperative complications and mortality and usually is realized in older patients. We present our experience with this combined procedure.
Methods: we analyzed the files of patients treated with combined valve surgery and coronary artery by-pass graft surgery, between June 1, 2008 and June 30, 2011. It was evaluated risk factors, surgical time, morbidity and mortality.
Results: in the analyzed period, we included 74 patients. There were 51 male patients (69%) and 23 female patients (31%). The mean age was 63 ± 7.3 years. The most frequent procedure was aortic valve replacement with one or two coronary artery by-pass grafts. The main complications were postoperative bleeding (18.9%), mediastinitis (8.1%) and cardiac rhythm disturbances (2.7%). The mortality was 2.7%.
Conclusion: it was concluded that combined valve surgery with myocardial revascularization has similar results tan other authors and on this basis this procedure is safe and useful.

Key words: valve surgery, myocardial revascularization, mediastinitis.


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>Journals >Cirugía y Cirujanos >Year 2012, Issue 6

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