Clinical analysis of simultaneous aortic procedure with coronary artery bypass grafting
10.3760/cma.j.issn.1001-4497.2012.07.011
- VernacularTitle:主动脉手术同期冠状动脉旁路移植术97例
- Author:
Tao BAI
;
Junming ZHU
;
Jun ZHENG
;
Jianrong LI
;
Ningning LIU
;
Xudong PAN
;
Yongmin LIU
;
Lizhong SUN
- Publication Type:Journal Article
- Keywords:
Aortic diseases;
Coronary artery disease;
Coronary artery bypass;
Aortic procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(7):418-420
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarized the experience of simultaneous aortic operation and coroanry artery bypass graft (CABG).Methods Ninety seven patients who underwent combined aortic operation and CABG were reviewed from January 2009 to December 2011.All patients are divided into four groups according to etiology,63 aortic aneurysm,other 25 aortic dissection,7 coarctation of aorta or occlusion of main branch,and the other two aortic ulcer.Mean age of all patients is(57.6 ±9.5) years.The rate of preoperational diagnosis of coronary disease (CAD) were respectively 93.7％ (59/63),40.0％(10/25),100.0％,100.0％.The patients made the preoperative diagnosis of CAD were performed selective simultaneous CABG with aortic procedures.The others without diagnosis of CAD had to receive urgent CABG during the aortic procedures.Results The aortic procedures with simultaneous urgent CABG had signilicant higher mortality than with selective CABG,16.7％,3.8％,Fisher's exact test P =0.078.Conclusion Selective simultaneous CABG with aortic procedures is safely.In aortic surgery,patients with risk factors of CAD should undergo preoperative coronary artery angiography or spiral computed tomography.
