Beta
274784

Concurrent Aortic Valve Replacement and Coronary Artery Bypass Grafting: Early Outcome and Predictors of Mortality

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: The most prevalent structural heart valve condition that affects the aging population is degenerative aortic stenosis (AS). Conflicting reports have been reported on the effect of concomitant coronary artery bypass grafting (CABG) and aortic valve replacement (AVR) in patients with AS. Objective: At our medical center, we aimed to investigate outcomes of patients that occurred following AVR for AS conditions with and without CABG. Patients and Methods: A prospective study was performed in the Cardiothoracic Surgery Department from February 2019 to January 2021. A total of 50 patients were enrolled in the study and were equally divided into two groups. Group A involved patients who had an isolated AVR (n = 25). At the same time, Group B included patients who underwent AVR in conjunction with CABG (n = 25). AVR and all bypass anastomoses were performed under intermittent antegrade cold blood cardioplegia. Furthermore, we compared demographic, preoperative, operative, and postoperative data within groups. Results: Our finding revealed that the combination surgery patients were significantly older than the AVR patients (63.4 ± 8.7 vs. 57.7 ± 6.9 years; p = 0.014). The hospital mortality rate was similar in the combined procedure and AVR. The aortic cross-clamp time and cardiopulmonary bypass time were significantly longer in AVR + CABG compared to AVR patients (p < 0.0001). One-year postoperative improvements were reported in the NYHA class, with only one hospital mortality case among the two groups. Conclusions: We concluded that with optimal myocardial protection, minimal cross-clamp, and cardiopulmonary bypass time, in addition to the ideal and precise technique, the combined result of CABG-AVR was comparable to that of isolated CABG or AVR.  

DOI

10.21608/ejhm.2022.274784

Keywords

Coronary Artery Disease, aortic valve replacement, Aortic stenosis, Outcome

Authors

First Name

Karim Mohamed

Last Name

Elfakharany

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Mostafa Abdelsattar

Last Name

Kotb

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Mohamed Abdelshafy

Last Name

Azab

MiddleName

-

Affiliation

-

Email

abdelshafyazzab@gmail.com

City

-

Orcid

-

First Name

Ahmed S.

Last Name

Fadaly

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-18

Publish Date

2022-10-01

Page Start

7,332

Page End

7,338

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_274784.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=274784

Order

182

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Concurrent Aortic Valve Replacement and Coronary Artery Bypass Grafting: Early Outcome and Predictors of Mortality

Details

Type

Article

Created At

22 Jan 2023