Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting with Patent Internal Mammary Artery
The Ewha Medical Journal 2014³â 37±Ç 1È£ p.64 ~ p.67
Áø¹«³â(Jin Moo-Nyun) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
±è¼±¿í(Kim Sun-Wook) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
±è¿µÁÖ(Kim Young-Ju) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
±èÇöÁÖ(Kim Hyun-Ju) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
ÀÌÁ¤Èñ(Lee Jung-Hee) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
È«¸í±â(Hong Myeong-Ki) - Yonsei University College of Medicine Severance Cardiovascular Hospital Division of Cardiology
À庴ö(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.
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Heart Valve Prosthesis Implantation, Coronary artery bypass, Aortic valve stenosis, Mammary arteries
KMID :
1039020140370010064
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This case report showed a patient in whom successful conventional AVR was underwent after previous CABG with patent left internal mammary artery.