%0 Journal Article
%T Does Additional Coronary Artery Bypass Grafting Increase Hospital Mortality of  Patients Requiring Valve Surgery?
%A Hicham Benyoussef
%A Said Makani
%A Mohammed Yassine Benzha
%A Amal Haoudar
%A Aziza Kantri
%A Chafik El Kettani Hamidi
%A Soukaina Scadi
%A Amal El Ouradi
%A Mohamed Sabry
%A Mahdi Ait Houssa
%J World Journal of Cardiovascular Surgery
%P 143-154
%@ 2164-3210
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcs.2019.910016
%X <strong>Background:</strong> <span style=\"line-height:1.5;font-family:'';\"><span style=\"font-family:Verdana;\">The aim of this study was to evaluate the impact of additional coronary revascularization on the early results in patients submitted to valve surgery. </span><b><span style=\"font-family:Verdana;\">Patients and Methods: </span></b><span style=\"font-family:Verdana;\">A retrospective review of the cardiac surgical database between January 2000 and December 2018 was performed. A total of 1667 patients were included and divided into two groups: Group A isolated valve surgery (</span></span><span style=\"line-height:1.5;font-family:Verdana;\">I</span><span style=\"line-height:1.5;font-family:'';\"><span style=\"font-family:Verdana;\">VS n = 1608) and Group B with valve surgery combined to coronary artery bypass grafting (VS + CABG n = 59). Demographic, operative data and postoperative outcomes were compared between groups. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">Patients with combined procedure were older than patients who underwent isolated valvular surgery (64.9 ¡À 9.2 years vs 44.4 ¡À 13.1 years</span></span><span style=\"line-height:1.5;font-family:Verdana;\">;</span><span style=\"line-height:1.5;font-family:Verdana;\"> p = 0.0001) and there was a higher proportion of diabetics (40.7% vs 6.6%</span><span style=\"line-height:1.5;font-family:Verdana;\">;</span><span style=\"line-height:1.5;font-family:Verdana;\"> p = 0.0001). The 30 days mortality rate in the combined procedure group was 18.6% versus 6.2% in isolated valve surgery (p = 0.001). Also post</span><span style=\"line-height:1.5;font-family:Verdana;\">-</span><span style=\"line-height:1.5;font-family:Verdana;\">operative complications were more frequent than for patients who underwent </span><span style=\"line-height:1.5;font-family:Verdana;\">I</span><span style=\"line-height:1.5;font-family:'';\"><span style=\"font-family:Verdana;\">VS. Additionally we noted a high prevalence of coronary artery risk factors in patients with combined procedures. </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">Surgical mortality and morbidity of coexisting coronary and heart valve disease were substantially higher than </span></span><span style=\"line-height:1.5;font-family:Verdana;\">I</span><span style=\"line-height:1.5;font-family:Verdana;\">VS. More efforts in medical management may reduce the incidence of adverse outcomes.</span>
%K Valvular Disease
%K Coronary Artery Disease
%K Coronary Artery Bypass Grafting
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=95499