| Autor: |
Zulfugar T. Taghiyev, Matthias Bechtel, Markus Schlömicher, Dritan Useini, Hamid Naraghi Taghi, Vadim Moustafine, Justus T. Strauch |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
The Thoracic and cardiovascular surgeon. |
| ISSN: |
1439-1902 |
| Popis: |
Objectives Aortic stenosis is highly prevalent among patients with concomitant coronary artery disease. Surgical aortic valve replacement with coronary artery bypass grafting is usually the treatment of choice for patients with severe aortic stenosis and significant coronary disease. The aim of this study was to evaluate the outcome and hemodynamic results of the implantation of rapid-deployment valves (Rapid-Deployment Edwards Intuity Valve System [RDAVR]) versus conventional sutured valves (CSAVR) in combined surgery. Methods Between January 2012 and January 2017, 120 patients underwent replacement via RDAVR and 133 patients underwent replacement using CSAVR with concomitant coronary bypass grafting. Clinical and echocardiographic data were compared. Results The mean age was 76 ± 7 for RDAVR patients and 74 ± 6 years for CSAVR patients (p = 0.054); 48% in the RDAVR group were female versus 17% in the CSAVR group (p Conclusion RDAVR combined with coronary artery bypass grafting (CABG) can be performed extremely safely. Cross-clamp and cardiopulmonary bypass times can be significantly reduced with rapid deployment aortic valve system in the scenario of combined CABG. RDAVR resulted in lower gradients than CSAVR in patients implanted with prostheses of the same size. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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