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2022, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (1)

Aortic valve replacement and myocardial revascularization combined, early postoperative complications

Espronceda SK, Jeréz CAM, Massip NJ, González TA, González GOR

Language: Spanish
References: 27
Page: 1-8
PDF size: 311.82 Kb.


ABSTRACT

Introduction: Coronary artery disease in some patients is associated with the presence of valvular disease with replacement criteria, with the aortic valve often being the most affected.
Objective: To describe the behavior of combined aortic valve replacement and myocardial revascularization.
Methods: A descriptive, cross-sectional study of 21 patients operated on for myocardial revascularization with combined aortic valve replacement at the Institute of Cardiology in 2017 was carried out. Patients operated on for coronary artery disease and double valve replacement and those with a combination of ischemic heart disease were excluded and mitral or tricuspid valve replacement. Demographic, preoperative, surgical and postoperative clinical variables were collected. Median sternotomy was the surgical technique used, with balanced general anesthesia. For the analysis of variables, descriptive statistics were used. Ethical principles were followed.
Results: Male sex predominated (95.24%). Arterial hypertension was present in 95.24%. Aortic valve stenosis was the cause of surgery in 80.95%. The main angiographic diagnosis was three-vessel coronary artery disease. However, performing two aortic-coronary bypasses was the most frequent procedure. Valve replacement by mechanical prosthesis was only performed in 47.62%, in the rest the valve was replaced by biological prosthesis. Blood products were used in 85.71%. The most frequent complications were: respiratory (90.57%) followed by the internal environment and renal dysfunction without dialysis treatment (71.42%). Four patients underwent emergency reoperation.
Conclusions: Combined surgical procedures have considerable morbidity in the immediate postoperative period, even so, due to their long-term benefits, these procedures are not contraindicated at any age.


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