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Review Article

Combined surgery for valve and coronary artery disease

Bruce W. Lytle, MD
Cleveland Clinic Journal of Medicine January 1988, 55 (1) 79-87;
Bruce W. Lytle
Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation
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ABSTRACT

Patients with valvular heart disease often have coexisting coronary artery disease. Studies of the first 500 patients undergoing aortic valve replacement (AVR) combined with coronary bypass grafting (1967-1981) and the first 300 patients undergoing mitral valve replacement (MVR) combined with coronary bypass grafting (1970-1983) at the Cleveland Clinic documented overall in-hospital mortality at 5.9% and 7.3%, respectively. Late survival of patients after AVR and bypass grafting exceeded that for patients after MVR and bypass grafting. In both groups, patients who received bioprostheses and who did not take warfarin had superior survival.

Index terms
  • Coronary disease
  • Heart surgery
  • Heart valve diseases
  • Review articles
  • Received March 1987.
  • Accepted May 1987.
  • Copyright © 2008 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 55 (1)
Cleveland Clinic Journal of Medicine
Vol. 55, Issue 1
1 Jan 1988
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Combined surgery for valve and coronary artery disease
Bruce W. Lytle
Cleveland Clinic Journal of Medicine Jan 1988, 55 (1) 79-87;

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Combined surgery for valve and coronary artery disease
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Cleveland Clinic Journal of Medicine Jan 1988, 55 (1) 79-87;
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  • Coronary Disease
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