RT Journal Article
SR Electronic
T1 Combined surgery for valve and coronary artery disease
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 79
OP 87
VO 55
IS 1
A1 Bruce W. Lytle
YR 1988
UL http://www.ccjm.org/content/55/1/79.abstract
AB 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.