title: [Combined coronary artery bypass-graft surgery and valve surgery. Cardiothoracic surgery department of a high specialty medical unit experience].
abstract: BACKGROUND
  the combined heart valve surgery and coronary artery bypass graft surgery has increased in frequency. The combined procedures have an increased risk of perioperative complications and mortality and usually is realized in older patients. We present our experience with this combined procedure.
  
  
  METHODS
  we analyzed the files of patients treated with combined valve surgery and coronary artery bypass graft surgery, between June 1, 2008 and June 30, 2011. We evaluated risk factors, surgical time, morbidity and mortality.
  
  
  RESULTS
  in the analyzed period, we included 74 patients. There were 51 male patients (69%) and 23 female patients (31%). The mean age was 63 ± 7.3 years. The most frequent procedure was aortic valve replacement with one or two coronary artery bypass grafts. The main complications were postoperative bleeding (18.9%), mediastinitis (8.1%) and cardiac rhythm disturbances (2.7%). The mortality was 2.7%.
  
  
  CONCLUSIONS
  it was concluded that combined valve surgery with myocardial revascularization has similar results to that reported by other authors and on this basis this procedure is safe and useful.
authors: Departamento de Cirugía Cardiotorácica y Soporte Cardiopulmonar, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, IMSS. D.F. México.
authors: Luis Enrique
authors: LE
authors: Payró-Hernández
authors: Gladys Adriana
authors: GA
authors: Carmona-Jarquín
authors: Guillermo
authors: G
authors: Careaga-Reyna
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000453:epidemiology / Q000209:etiology; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data*; D017052:Hospital Mortality; D006769:Hospitals, General / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000453:epidemiology / Q000209:etiology; D008800:Mexico; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D013530:Surgical Wound Infection / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome