JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
 QUICK SEARCH:   [advanced]


     


J Am Coll Cardiol, 1987; 9:38-43
© 1987 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Magovern, J.
Right arrow Articles by Waldhausen, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Magovern, J.
Right arrow Articles by Waldhausen, J.

Aortic valve replacement and combined aortic valve replacement and coronary artery bypass grafting: predicting high risk groups

JA Magovern, JL Pennock, DB Campbell, WE Pae, M Bartholomew, WS Pierce, and JA Waldhausen

To determine which groups of patients are at highest risk for operative or late mortality, 259 consecutive patients who underwent operation between 1978 and 1984 were studied; 170 underwent aortic valve replacement and 89 underwent aortic valve replacement combined with coronary artery bypass grafting. Multivariate analysis of risk factors selected emergency operation and patient age older than 70 years as the strongest predictors for operative death. Although patients having aortic valve replacement and coronary artery bypass grafting had a higher operative mortality rate (13.5 versus 3.5%), the combined operation had no independent predictive effect on early or late results. At a mean follow-up time of 48 months after surgery, 72% of the survivors of operation were living, 10% were lost to follow-up and 18% were dead. Seventy-seven percent of long-term survivors were in New York Heart Association functional class I or II. The incidence of thromboembolism, paravalvular leak, bacterial endocarditis and hemorrhage each occurred at a rate of less than 1% per patient-year. The factors associated with late death were preoperative age, male sex, left ventricular end-diastolic pressure, cardiac index and functional class. Despite an increase in operative mortality, patients undergoing emergency operation were not at higher risk of late death. Operative mortality is concentrated among several high risk groups. For patients undergoing elective operation, operative mortality is low, especially if the patient is less than 70 years old. Late results are good for all groups of patients undergoing operation, including those who are at greater risk of dying at operation.


This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
K. J. Kobayashi, J. A. Williams, L. Nwakanma, V. L. Gott, W. A. Baumgartner, and J. V. Conte
Aortic Valve Replacement and Concomitant Coronary Artery Bypass: Assessing the Impact of Multiple Grafts
Ann. Thorac. Surg., March 1, 2007; 83(3): 969 - 978.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons
J. Am. Coll. Cardiol., August 1, 2006; 48(3): e1 - e148.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. P.A. Puvimanasinghe, J. J.M. Takkenberg, M. J.C. Eijkemans, E. W. Steyerberg, L. A. van Herwerden, G. L. Grunkemeier, J. D. F. Habbema, and A. J.J.C. Bogers
Prognosis After Aortic Valve Replacement With the Carpentier-Edwards Pericardial Valve: Use of Microsimulation
Ann. Thorac. Surg., September 1, 2005; 80(3): 825 - 831.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
G. Tarantini, P. Buja, R. Scognamiglio, R. Razzolini, G. Gerosa, G. Isabella, A. Ramondo, and S. Iliceto
Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular function recovery
Eur. J. Cardiothorac. Surg., December 1, 2003; 24(6): 879 - 885.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
M. F. Ibrahim, D. Paparella, J. Ivanov, M. R. Buchanan, and S. J. Brister
Gender-related differences in morbidity and mortality during combined valve and coronary surgery
J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 959 - 964.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
V. H. Thourani, W. S. Weintraub, J. M. Craver, E. L. Jones, E. M. Mahoney, and R. A. Guyton
Ten-year trends in heart valve replacement operations
Ann. Thorac. Surg., August 1, 2000; 70(2): 448 - 455.
[Abstract] [Full Text] [PDF]


Home page
Asian Cardiovasc. Thorac. Ann.Home page
W. E. Jamieson, E. Germann, G. J Fradet, S. V Lichtenstein, R. T Miyagishima, W. E. Jamieson, E. Germann, G. J Fradet, S. V Lichtenstein, and R. T Miyagishima
Bioprostheses and Mechanical Prostheses Predictors of Performance
Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 121 - 126.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
W.R. E. Jamieson, F. H. Edwards, M. Schwartz, J. W. Bero, R. E. Clark, and F. L. Grover
Risk stratification for cardiac valve replacement. National Cardiac Surgery Database
Ann. Thorac. Surg., April 1, 1999; 67(4): 943 - 951.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
G. Cohen, T. E. David, J. Ivanov, S. Armstrong, and C. M. Feindel
THE IMPACT OF AGE, CORONARY ARTERY DISEASE, AND CARDIAC COMORBIDITY ON LATE SURVIVAL AFTER BIOPROSTHETIC AORTIC VALVE REPLACEMENT
J. Thorac. Cardiovasc. Surg., February 1, 1999; 117(2): 273 - 284.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
H. M. Connolly, J. K. Oh, T. A. Orszulak, S. L. Osborn, V. L. Roger, D. O. Hodge, K. R. Bailey, J. B. Seward, and A. J. Tajik
Aortic Valve Replacement for Aortic Stenosis With Severe Left Ventricular Dysfunction: Prognostic Indicators
Circulation, May 20, 1997; 95(10): 2395 - 2400.
[Abstract] [Full Text]


Home page
Ann. Thorac. Surg.Home page
T. A. Orszulak, H. V. Schaff, F. J. Puga, G. K. Danielson, C. J. Mullany, B. J. Anderson, and D. M. Ilstrup
Event Status of the Starr-Edwards Aortic Valve to 20 Years: A Benchmark for Comparison
Ann. Thorac. Surg., March 1, 1997; 63(3): 620 - 626.
[Abstract] [Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. C. Ashton Jr., D. J. Goldstein, D. D'Alessandro, A. D. Weinberg, D. Burkhoff, H. D. Rosskothen, G. M. Lemole, and M. C. Oz
DEVELOPMENT OF AN INTRALUMINAL DEVICE FOR THE TREATMENT OF AORTIC REGURGITATION: PROTOTYPE AND IN VITRO TESTING SYSTEM
J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 979 - 983.
[Abstract] [Full Text]


Home page
Ann. Thorac. Surg.Home page
W. J. Flameng, P. Herijgers, J. Szecsi, P. T. Sergeant, W. J. Daenen, and I. Scheys
Determinants of Early and Late Results of Combined Valve Operations and Coronary Artery Bypass Grafting
Ann. Thorac. Surg., February 1, 1996; 61(2): 621 - 628.
[Abstract] [Full Text]


Home page
CirculationHome page
S. F. Fighali, A. Avendano, M. A. Elayda, V. V. Lee, C. Hernandez, V. Siero, R. D. Leachman, and D. A. Cooley
Early and Late Mortality of Patients Undergoing Aortic Valve Replacement After Previous Coronary Artery Bypass Graft Surgery
Circulation, November 1, 1995; 92(9): 163 - 168.
[Abstract] [Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
S. Khan, A. Chaux, J. Matloff, C. Blanche, M. DeRobertis, R. Kass, T. P. Tsai, A. Trento, S. Nessim, R. Gray, et al.
The St. Jude Medical valveExperience with 1000 cases
J. Thorac. Cardiovasc. Surg., December 1, 1994; 108(6): 1010 - 1020.
[Abstract] [Full Text]


Home page
NEJMHome page
J. B. Wong, D. N. Salem, and S. G. Pauker
You're Never Too Old
N. Engl. J. Med., April 1, 1993; 328(13): 971 - 975.
[Full Text]




HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 1987 by the American College of Cardiology Foundation.