| Popis: |
54 patients aged 65-88 years (mean age 68,4±5,9) were operated during 1994-2009. 50 patients underwent aortic valve replacement combined with coronary bypass grafting, 3 patients underwent aortic and mitral valve replacement combined with bypass grafting. Ascending aorta replacement according to Bentall - de Bono method with coronary bypass grafting was carried out to 1 patient. Aortic root plasty was applied in 4 observations. 106 distal bypasses with coronary bed were formed in 54 patients; myocardial revascularization index amounted 1,9. Hospital mortality amounted 3,7% (2 patients). Causes of lethal outcome were: complex rhythm disturbances, augmenting cardiovascular failure. Low hospital mortality and low amount of complications allow recommending more aggressive approach in establishing indications for operative treatment in this group of patients. |
