지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 326 - 331 (6page)
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초록· 키워드
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Purpose: Combined coronary artery bypass (CAB) and valve surgery is one of the most challenging surgical procedures, but the operative results have improved over the years. Materials and Methods: From 1989 through 2004, combined CAB and valve operations were performed in 125 patients. Mean age was 63 years, and 86patients were male. Forty-six patients were diagnosed with coronary artery disease during preoperative evaluation for valvular heart disease (VHD). All patients underwent CAB, and one or more underwent valve replacement or repair (mitral: 54, aortic: 61, tricuspid: 3, DVR: 7) simultaneously. Results: Mean number of distal graft was 1.98 ±1.07, and LIMA was used in 68% of patients. Early mortality occurred in 6 patients (4.8%), and the causes were heart failure (4) and sepsis (2). Mean follow-up duration was 91.4 ± 40.9 months (range: 47-245), and late mortality occurred in 4 patients. Kaplan Meier estimated survival rates at 1, 5, and 10 years were 94.4 %, 92.3%, and 89.9%,respectively. Conclusion: Combined coronary and valve operations can be performed safely with optimal surgical results. Although the surgical mortality of coexisting coronary and VHD is higher than either isolated coronary or valvular operations, it may not affect the long-term survival.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Ashraf SS / 1994 / Early and late results following combined coronary bypass surgery and mitral valve replacement / Eur J Cardiothorac Surg 8 : 57 ~ 62
Barbash GI / 1995 / Acute myocardial infarction in the young--the role of smoking. The Investigators of the International Tissue Plasminogen Activator/Streptokinase Mortalit
Bonow RO / 2006 / ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of American College of Cardiology/American Heart Association T
Choudhury L / 1999 / Myocardial infarction in young patients / Am J Med 107 : 254 ~ 261
Czer LS / 1984 / Mitral valve replacement: impact of coronary artery disease and determinants of prognosis after revascularization / Circulation 70 : I198 ~ 1207
Barbash GI / 1995 / Acute myocardial infarction in the young--the role of smoking. The Investigators of the International Tissue Plasminogen Activator/Streptokinase Mortalit
Bonow RO / 2006 / ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of American College of Cardiology/American Heart Association T
Choudhury L / 1999 / Myocardial infarction in young patients / Am J Med 107 : 254 ~ 261
Czer LS / 1984 / Mitral valve replacement: impact of coronary artery disease and determinants of prognosis after revascularization / Circulation 70 : I198 ~ 1207
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