Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting with Patent Internal Mammary Artery

The Ewha Medical Journal 2014년 37권 1호 p.64 ~ p.67

진무년(Jin Moo-Nyun) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
김선욱(Kim Sun-Wook) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
김영주(Kim Young-Ju) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
김현주(Kim Hyun-Ju) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
이정희(Lee Jung-Hee) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
홍명기(Hong Myeong-Ki) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
장병철(Chang Byung-Chul) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiovascular Surgery

Abstract

With the aging population, more patients who have undergone previous coronary artery bypass grafting (CABG) are surviving long enough to require subsequent aortic valve replacement (AVR). Conventional redo AVR after prior CABG involves resternotomy, dissection and clamping of the patent bypass graft vessel. Favorable results have been reported for AVR following previous CABG; however, the problems of this procedure includes that injury to the patent bypass grafts can result in catastrophic complications. Increasing patient age and comorbidities may increase operative mortality, less invasive percutaneous aortic valve intervention has advanced. However, because there are no sufficient data comparing transcatheter aortic valve intervention with surgical AVR, currently, the surgical approach should still be consider as the standard of treatment for AVR following previous CABG. We report a patient in whom successful conventional AVR was underwent after previous CABG with patent left internal mammary artery.

키워드

Heart Valve Prosthesis Implantation, Coronary artery bypass, Aortic valve stenosis, Mammary arteries
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KoreaMed 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
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중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
This case report showed a patient in whom successful conventional AVR was underwent after previous CABG with patent left internal mammary artery.
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DOI
KCD코드
ICD 03
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