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. 2011 Jan;24(1):6-8.
doi: 10.1080/08998280.2011.11928673.

Aortic valve replacement for stenosis with or without coronary artery bypass grafting after 2 previous isolated coronary artery bypass grafting operations

Christopher Lee Henry  1 , Jong Mi Ko, Albert Carl Henry, William Clifford Roberts, Gregory John Matter
Affiliations

Aortic valve replacement for stenosis with or without coronary artery bypass grafting after 2 previous isolated coronary artery bypass grafting operations

Christopher Lee Henry et al. Proc (Bayl Univ Med Cent). 2011 Jan.

Abstract

Aortic valve replacement following an earlier coronary artery bypass grafting (CABG) procedure is fairly common. When this situation occurs, the type of valve dysfunction is usually stenosis (with or without regurgitation), and whether it was missed at the time of the earlier CABG or developed subsequently is usually unclear. We attempted to determine the survival in patients who had had aortic valve replacement after 2 previous CABG procedures. We describe 12 patients who had aortic valve replacement for aortic stenosis; rather than one previous CABG operation, all had had 2 previous CABG procedures. Only one patient died in the early postoperative period after aortic valve replacement, and the remaining 11 were improved substantially: all have lived at least 11 months, and one is still alive at over 101 months after aortic valve replacement. Aortic valve replacement remains beneficial for most patients even after 2 previous CABG procedures.

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Figures

Figure 1
Figure 1
Flowchart showing the numbers of patients having aortic valve replacement (AVR) for aortic stenosis (AS) or for pure aortic regurgitation (AR) preceded by 1, 2, or 3 previous coronary artery bypass grafting (CABG) procedures at Baylor University Medical Center at Dallas from January 21, 1997, to December 31, 2009.
Figure 2
Figure 2
The operatively excised aortic valve in 9 of the 12 patients. See the Table for pertinent data for each patient.
See this image and copyright information in PMC

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