Aortic Valve Replacement for Aortic Stenosis and Concomitant Coronary Artery Bypass: Long-term Outcomes and Predictors of Mortality
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 131-136, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-61789
ABSTRACT
BACKGROUND:
We evaluated the surgical results and predictors of long-term survival in patients who underwent coronary artery bypass grafting (CABG) at the time of an aortic valve replacement (AVR) due to aortic stenosis. MATERIALS ANDMETHODS:
Between January 1990 and December 2009, 183 consecutive patients underwent CABG and concomitant aortic valve replacement for aortic stenosis. The mean follow-up period was 59.8+/-3.3 months and follow-up was possible in 98.3% of cases. Predictors of mortality were determined by Cox regression analysis.RESULTS:
There were 5 (2.7%) in-hospital deaths. Follow-up of the in-hospital survivors documented late survival rates of 91.5%, 74.8%, and 59.6% at 1, 5, and 10 postoperative years, respectively. Age (p<0.001), a glomerular filtration rate (GFR) less than 60 mL/min (p=0.006), and left ventricular (LV) mass (p<0.001) were significant predictors of mortality in the multivariate analysis.CONCLUSION:
The surgical results and long-term survival of aortic valve replacement with concomitant CABG in patients with aortic stenosis and coronary artery disease were acceptable. Age, a GFR less than 60 mL/min, and LV mass were significant predictors of mortality.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Válvula Aórtica
/
Estenosis de la Válvula Aórtica
/
Enfermedad de la Arteria Coronaria
/
Puente de Arteria Coronaria
/
Tasa de Supervivencia
/
Estudios de Seguimiento
/
Sobrevivientes
/
Vasos Coronarios
/
Tasa de Filtración Glomerular
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2011
Tipo del documento:
Artículo
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