CARDIAC SURGERY<br>The impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center

Bartłomiej Perek; Marcin Misterski; Wojciech Stachowiak; Piotr Buczkowski; Sebastian Stefaniak; Mateusz Puślecki; Tomasz Urbanowicz; Wiktor Budniak; Marek Jemielity

doi:10.5114/kitp.2014.47333

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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abstract:

CARDIAC SURGERY
The impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center

Bartłomiej Perek

,

Marcin Misterski

,

Wojciech Stachowiak

,

Piotr Buczkowski

,

Sebastian Stefaniak

,

Mateusz Puślecki

,

Tomasz Urbanowicz

,

Wiktor Budniak

,

Marek Jemielity

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (4): 361-366

DOI: https://doi.org/10.5114/kitp.2014.47333

Online publish date: 2014/11/30

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AMA

Perek B, Misterski M, Stachowiak W, et al. CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2014;11(4):361-366. doi:10.5114/kitp.2014.47333.

APA

Perek, B., Misterski, M., Stachowiak, W., Buczkowski, P., Stefaniak, S.,  & Puślecki, M. et al. (2014). CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 11(4), 361-366. https://doi.org/10.5114/kitp.2014.47333

Chicago

Perek, Bartłomiej, Marcin Misterski, Wojciech Stachowiak, Piotr Buczkowski, Sebastian Stefaniak, Mateusz Puślecki,  and Tomasz Urbanowicz et al. 2014. "CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 11 (4): 361-366. doi:10.5114/kitp.2014.47333.

Harvard

Perek, B., Misterski, M., Stachowiak, W., Buczkowski, P., Stefaniak, S., Puślecki, M., Urbanowicz, T., Budniak, W.,  and Jemielity, M. (2014). CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 11(4), pp.361-366. https://doi.org/10.5114/kitp.2014.47333

MLA

Perek, Bartłomiej et al. "CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 11, no. 4, 2014, pp. 361-366. doi:10.5114/kitp.2014.47333.

Vancouver

Perek B, Misterski M, Stachowiak W, Buczkowski P, Stefaniak S, Puślecki M et al. CARDIAC SURGERYThe impact of coronary artery disease severity 
on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2014;11(4):361-366. doi:10.5114/kitp.2014.47333.

PlumX metrics:

Introduction: The severity of coronary artery disease (CAD) may have an impact on the outcomes of patients (pts) after aortic valve replacement (AVR) and coronary artery bypass grafting (CABG).

Aim: The aim of the study was to analyze survival after simultaneous AVR and CABG with respect to CAD severity.

Material and methods: The study involved 143 consecutive pts (40 women and 103 men) with a mean age of 65.1 ± 7.7 years treated between 2006 and 2009. The indication for surgery was aortic stenosis accompanied by left main or three-vessel disease (group A; n = 43) and by single- or two-vessel disease (group B; n = 100). In-hospital and late mortality were analyzed. Post-discharge survival was estimated using the Kaplan-Meier method. Moreover, selected preoperative clinical and echocardiographic data as well as intraoperative variables were compared between the groups.

Results: In-hospital mortality was 4.7% in group A and 3.0% in group B (NS). The 12-month and 48-month survival probability rates were 0.88 ± 0.05 and 0.83 ± 0.06 in group A, and 0.97 ± 0.01 and 0.92 ± 0.03 in group B, respectively (p < 0.05). Patients in group A and B differed (p < 0.05) with respect to the preoperative prevalence of arterial hypertension (65.1% vs. 42.0%) and atrial fibrillation (18.6% vs. 6.0%) as well as with regard to the rate of complete revascularization (20.9% vs. 85.0%, group A and B, respectively).

Conclusions: Coronary artery disease severity impacts long-term survival after combined AVR and CABG. Patients with left main or three-vessel disease more often undergo incomplete surgical revascularization, and this fact may be one of the predictors of an unfavorable outcome.

keywords:

CARDIAC SURGERYThe impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center

Bartłomiej Perek , Marcin Misterski , Wojciech Stachowiak , Piotr Buczkowski , Sebastian Stefaniak , Mateusz Puślecki , Tomasz Urbanowicz , Wiktor Budniak , Marek Jemielity

oronary artery disease, aortic valve replacement, combined procedures, mortality, long-term outcomes

CARDIAC SURGERY
The impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting – experience of a single cardiac surgery center

Bartłomiej Perek

,

Marcin Misterski

,

Wojciech Stachowiak

,

Piotr Buczkowski

,

Sebastian Stefaniak

,

Mateusz Puślecki

,

Tomasz Urbanowicz

,

Wiktor Budniak

,

Marek Jemielity