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Outcome of concomitant surgical treatment in patients with coronary artery disease and severe aortic stenosis: A single-center study
http://hdl.handle.net/10129/00006959
http://hdl.handle.net/10129/00006959bf412b5f-3fdc-4f48-9b91-5697aafcfcf4
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Hirosaki Med J 70-2-4_99 (707.5 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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| 公開日 | 2020-03-06 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Outcome of concomitant surgical treatment in patients with coronary artery disease and severe aortic stenosis: A single-center study | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | aortic stenosis | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | aortic valve replacement | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | coronary artery disease | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | coronary artery bypass grafting | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | combined operation | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| 著者 |
Yu, Zaiqiang
× Yu, Zaiqiang
× Daitoku, Kazuyuki
× Yang, Wei
× Kondo, Norihiro
× Minakawa, Masahito
× Fukuda, Ikuo
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| 著者所属 | ||||||||||||||||||
| Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine | ||||||||||||||||||
| 抄録 | ||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||
| 内容記述 | Background: Combined aortic valve replacement（ AVR） and coronary artery bypass grafting（ABG）is mostly performed for patients with aortic stenosis（ AS） and coronary artery disease（ AD）. Objectives: We aim to clarify that combined operation of AVR and CABG with adequate perioperative ardiac protection does not increase operative and postoperative risk. Methods: A total of 217 patients who underwent AVR for aortic stenosis alone or combined AVR and CABG from 1/2002 to 12/2015 were recruited. The aortic valve alone group （group A） had 164 patients, with an average age of 71.6± 8.1 years. The combined operation group （group C） consisted of 54 patients, with an average age of 73.5±8.5 years. Aortic valve area and pressure gradient showed no significant differences between the two groups. In group C, an average of 2±0.8 vessels had CAD. Cold crystalloid cardioplegia according to left ventricular mass ± a terminal hot shot was used for all patients. Distal graft anastomosis was done after cardiac arrest and cardioplegia （1.5-fold normal） was injected additionally from the graft with severe proximal obstruction of the right coronary artery. Results: Group C included more patients with diabetes mellitus （DM, 43.4% vs. 26.8%） and low left ventricular ejection fraction（ LVEF<50%, 33.96% vs. 16.46%） than group A. On the other hand, the incidence of atrial fibrillation（ AF, .77% vs. 13.41%） was significantly less in group C than in group A. Although cardiac arrest time was longer in group C,postoperative CPK-MB was not significantly elevated, except in 4 patients. Postoperative data showed no significant differences between the two groups. Conclusions: In our department, satisfactory clinical outcomes were obtained with combined operation AVR and CABG. Sufficient myocardial protection had an important effect on clinical outcomes. |
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| 書誌情報 |
弘前医学 巻 70, 号 2-4, p. 99-108, 発行日 2020-03-02 |
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| ISSN | ||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||
| 収録物識別子 | 0439-1721 | |||||||||||||||||
| 書誌レコードID | ||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||
| 収録物識別子 | AN00211444 | |||||||||||||||||
| 著者版フラグ | ||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
| 出版者 | ||||||||||||||||||
| 出版者 | 弘前大学大学院医学研究科 | |||||||||||||||||
