Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

Zapytanie: JURASZYŃSKI
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Tytuł oryginału: Coronary artery bypass grafting due to iatrogenic left main coronary artery stenosis after aortic valve replacement: early and late follow-up.
Tytuł polski: Jatrogenne zwężenie pnia lewej tętnicy wieńcowej po wymianie zastawki aortalnej. Wczesna i odległa obserwacja po pomostowaniu naczyń wieńcowych.
Autorzy: Juraszyński Zbigniew, Zakrzewski Dariusz, Orłowska-Baranowska Ewa, Hendzel Piotr, Dyk Wojciech, Rawczyńska-Englert Irena, Biederman Andrzej, Śliwiński Marian
Opracowanie edytorskie: Narkiewicz Mirosława (koment.).
Źródło: Kardiol. Pol. 2002: 57 (7) s.24-29, il., tab., bibliogr. 13 poz. - Tekst równol. w jęz. pol.
Sygnatura GBL: 313,397

Hasła klasyfikacyjne GBL:
  • kardiologia

    Typ dokumentu:
  • praca kliniczna

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • dorośli 45-64 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background. Iatrogenic left main coronary artery stenosis (LMCAS) is a rare but serious complication of aortic valve replacement. Aim. This retrospective study was undertaken to evaluate early and late results after coronary artery bypass grafting (CABG) in patients with LMCAS. Methods. Between 1986 and 2000 thirteen patients (nine males and four females, mean age 52ń10 years) underwent CABG due to LMCAS after prior valve replacement [eight (61 p.c. - aortic valve replacement, five (39 p.c.) - bivalvular replacement]. In 38 p.c. of patients a concomitant right coronary artery ostial stenosis was seen. Eight (61 p.c.) patients underwent off-pump CABG and five (39 p.c.) - conventional CABG. Patients were followed for 32 months (range 7 to 132 months). Results. There were three deaths in the perioperative period due to heart failure secondary to ischaemia. The operative mortality was 23 p.c. There was a 40 p.c. operative mortality rate in the conventional CABG group and 12.5 p.c. in the off-pump CABG patients. All the remaining patients survived the follow-up period and all but one patient were angina-free. One patient developed anginal symptoms 18 months after CABG. Two (20 p.c.) patients required permanent pacemaker implantation 20 days and 7 months after due to the atrio-ventricular IIIrd degree block. Conclusions. Coronary angiography is mandatory in patients presenting anginal symptoms early after aortic valve replacement because of the risk of LMCAS. Early post-CABG mortality in these patients is high, however, the long-term prognosis in those who survive the post-operative period, is satisfactory.

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