[Mild aortic stenosis and coronary bypass surgery].
The presence of mild to moderate aortic stenosis in a patients scheduled for coronary bypass surgery poses difficult problems with respect to the optimal therapeutic strategy. The first step is obviously to obtain a precise quantification of the degree of stenosis. Whenever possible, confrontation with previous echo examinations will provide an idea of the speed with which aortic stenosis progresses. The cardiologist, together with the cardiac surgeon, will have to carefully balance the operative risk and the risk of a second intervention. The patient's age will be central in the discussion, as it is a major determinant of life expectancy after the initial intervention.
Clinique Saint-Augustin, 114, avenue d'Arès, 33000 Bordeaux, France. cchauvel@club-cardio.org
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Chauvel
D000328:Adult; D000367:Age Factors; D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D018450:Disease Progression; D004452:Echocardiography; D006801:Humans; D008017:Life Expectancy; D008875:Middle Aged; D010347:Patient Care Planning; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index