Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting with Patent Internal Mammary Artery.
10.12771/emj.2014.37.1.64
- Author:
Moo Nyun JIN
1
;
Sun Wook KIM
;
Young Ju KIM
;
Hyun Ju KIM
;
Jung Hee LEE
;
Myeong Ki HONG
;
Byung Chul CHANG
Author Information
1. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea. mkhong61@yuhs.ac
- Publication Type:Case Report
- Keywords:
Heart Valve Prosthesis Implantation;
Coronary artery bypass;
Aortic valve stenosis;
Mammary arteries
- MeSH:
Aging;
Aortic Valve Stenosis;
Aortic Valve*;
Comorbidity;
Constriction;
Coronary Artery Bypass*;
Coronary Vessels*;
Heart Valve Prosthesis Implantation;
Humans;
Mammary Arteries*;
Mortality;
Transplants
- From:The Ewha Medical Journal
2014;37(1):64-67
- CountryRepublic of Korea
- Language:English
-
Abstract:
With the aging population, more patients who have undergone previous coronary artery bypass grafting (CABG) are surviving long enough to require subsequent aortic valve replacement (AVR). Conventional redo AVR after prior CABG involves resternotomy, dissection and clamping of the patent bypass graft vessel. Favorable results have been reported for AVR following previous CABG; however, the problems of this procedure includes that injury to the patent bypass grafts can result in catastrophic complications. Increasing patient age and comorbidities may increase operative mortality, less invasive percutaneous aortic valve intervention has advanced. However, because there are no sufficient data comparing transcatheter aortic valve intervention with surgical AVR, currently, the surgical approach should still be consider as the standard of treatment for AVR following previous CABG. We report a patient in whom successful conventional AVR was underwent after previous CABG with patent left internal mammary artery.
