ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
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 Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Search for Related Content
Related Collections
Right arrowRelated Article

Ann Thorac Surg 1997;64:657-658
© 1997 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 651.

DR HARTZELL V. SCHAFF (Rochester, MN): I congratulate Dr Sundt and his colleagues on their very good results in managing a difficult group of patients. Many of you may not know that Dr Sundt was raised in Rochester, Minnesota, where his father was Head of Neurosurgery at Mayo Clinic and a world expert in cerebrovascular disease. We take an almost paternal pride in his presentation and professional achievements.

There are really two important points to this study. The first is the outcome of patients who have aortic valve replacement after coronary artery bypass grafting, and the second is how these results might influence our management of patients with mild or moderate aortic stenosis undergoing coronary revascularization. These data from Washington University suggest that the risk of reoperation for aortic valve replacement is no higher than that of primary operation for aortic valve replacement and coronary artery bypass, but this is not consistent with results of other larger studies, nor is it intuitive.

Two other large published studies, one from our institution and the other from the Texas Heart Institute, suggest that the operative mortality of patients undergoing aortic valve replacement after coronary artery bypass is higher than that for a primary operation. These two studies include patients operated on earlier than those in the present review, and this leads to the first question. Were the patients included in this study all of the patients who had late aortic valve replacement at Barnes-Jewish Hospital, and if not, would inclusion of patients before 1985 have altered your results and conclusions?

There are several reasons why we believe that patients having aortic valve replacement after coronary bypass would be expected to . . . [Full Text of this Article]


Related Article

Previous Coronary Artery Bypass Grafting Is Not a Risk Factor for Aortic Valve Replacement
Thoralf M. Sundt, III, Suzan F. Murphy, Benico Barzilai, Richard B. Schuessler, Eric N. Mendeloff, Charles B. Huddleston, Michael K. Pasque, and William A. Gay, Jr
Ann. Thorac. Surg. 1997 64: 651-657. [Abstract] [Full Text]





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1997 by The Society of Thoracic Surgeons.