title: Aortic valve replacement for stenosis with or without coronary artery bypass grafting after 2 previous isolated coronary artery bypass grafting operations.
abstract: Aortic valve replacement following an earlier coronary artery bypass grafting (CABG) procedure is fairly common. When this situation occurs, the type of valve dysfunction is usually stenosis (with or without regurgitation), and whether it was missed at the time of the earlier CABG or developed subsequently is usually unclear. We attempted to determine the survival in patients who had had aortic valve replacement after 2 previous CABG procedures. We describe 12 patients who had aortic valve replacement for aortic stenosis; rather than one previous CABG operation, all had had 2 previous CABG procedures. Only one patient died in the early postoperative period after aortic valve replacement, and the remaining 11 were improved substantially: all have lived at least 11 months, and one is still alive at over 101 months after aortic valve replacement. Aortic valve replacement remains beneficial for most patients even after 2 previous CABG procedures.
authors.affiliation: Baylor Heart and Vascular Institute (C. L. Henry, Ko, Roberts), Department of Cardiothoracic Surgery (A. C. Henry, Matter), Division of Cardiology, Department of Internal Medicine (Roberts), and Department of Pathology (Roberts), Baylor University Medical Center at Dallas. C. L. Henry is now a freshman at the American University of the Caribbean School of Medicine N.V., St. Maarten, Netherlands Antilles.
authors.forename: Christopher
authors.initials: C
authors.lastname: Lee Henry
authors.forename: Jong Mi
authors.initials: JM
authors.lastname: Ko
authors.forename: Albert Carl
authors.initials: AC
authors.lastname: Henry
authors.forename: William Clifford
authors.initials: WC
authors.lastname: Roberts
authors.forename: Gregory John
authors.initials: GJ
authors.lastname: Matter