Clinical analysis of 116 cases of heart valve replacement with coronary artery bypass grafting
TAN Wei
LI Ruzheng
XING Jie
XIE Ting
Abstract：Objective To investigate the methods and clinical effects of heart valve surgery and coronary artery bypass grafting in patients with heart valve disease complicated with coronary heart disease.Methods A retrospective study was conducted in 116 patients who underwent surgery in our hospital from February 2013 to January 2017.The postoperative correlation analysis of cardiac function status and postoperative complications were collected.Results The cardiac function was improved and the left ventricular ejection fraction (LVEF) was significantly improved compared with that before operation.Coronary artery bypass grafting, mitral valve replacement, tricuspid valve replacement were performed in 46 patients.Coronary artery bypass graft, mitral valvuloplasty in 31 cases;coronary artery bypass, aortic valve replacement in 30 cases;coronary artery bypass, mitral valve and aortic valve replacement in 9 cases, 10 cases were found with postoperative low cardiac output syndrome, thoracotomy in 5 cases, acute renal failure in 7 cases, 5 cases of cerebral infarction, 3 cases of multiple organ failure(MOF) and death, 1 case of sudden death due to cerebral hemorrhage.Conclusion In patients with coronary heart disease with high risk of coronary heart disease, more than 50% of coronary artery stenosis should be performed concurrently with coronary artery bypass grafting and heart valve surgery, and active treatment to improve cardiopulmonary function, intraoperative myocardial protection reasonable to reduce the cardiopulmonary bypass time, it can effectively reduce mortality and complications, improve the surgical treatment.
Keywords：Coronary heart diseaseCoronary artery bypass surgeryValvular heart diseaseSimultaneous surgery
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 943-946 )