title: [Surgical treatment of patients with nonrheumatic aortic valve failure and ischemic heart disease].
abstract: 54 patients aged 65-88 years (mean age 68,4±5,9) were operated during 1994-2009. 50 patients underwent aortic valve replacement combined with coronary bypass grafting, 3 patients underwent aortic and mitral valve replacement combined with bypass grafting. Ascending aorta replacement according to Bentall - de Bono method with coronary bypass grafting was carried out to 1 patient. Aortic root plasty was applied in 4 observations. 106 distal bypasses with coronary bed were formed in 54 patients; myocardial revascularization index amounted 1,9. Hospital mortality amounted 3,7% (2 patients). Causes of lethal outcome were: complex rhythm disturbances, augmenting cardiovascular failure. Low hospital mortality and low amount of complications allow recommending more aggressive approach in establishing indications for operative treatment in this group of patients.
authors: Otdelenie khirurgii porokov serdtsa Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva.
authors: V V
authors: VV
authors: Domnin
authors: E P
authors: EP
authors: Evseev
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D017202:Myocardial Ischemia / Q000601:surgery; D011183:Postoperative Complications; D016896:Treatment Outcome