PMID- 15151031
OWN - NLM
STAT- MEDLINE
DCOM- 20040604
LR  - 20061115
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 57
IP  - 5
DP  - 2004 May
TI  - [Early and late results of combined valvular and coronary artery surgery].
PG  - 353-7
AB  - A total of 42 patients with combined valvular and coronary artery surgery were 
      examined to analyze risk factors for cardiac related events and late deaths. 
      There were aortic valve disease in 26 patients and mitral valve disease in 16. 
      Preoperatively, 14 patients (33%) had cardiac dysfunction (ejection fraction < or 
      = 40%) and 10 patients (24%) were in New York Heart Association (NYHA) functional 
      class IV. There was no operative death with 96% of early graft patency. There was 
      8 late deaths during 5.6 years of mean follow up. Actuarial survival rate was 86% 
      and 64% after 5 and 10 years, respectively. Cardiac dysfunction was a significant 
      independent predictor for late death. Cardiac related events occurred in 9 
      patients. Freedom from cardiac related events was 78% and 59% after 5 and 10 
      years, respectively. Cardiac dysfunction and mitral valve surgery were 
      significant independent predictors for cardiac related events. Late result of 
      combined mitral and coronary artery surgery was unfavorable in patients with 
      cardiac dysfunction.
FAU - Matsuyama, K
AU  - Matsuyama K
AD  - Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Japan.
FAU - Matsumoto, M
AU  - Matsumoto M
FAU - Sugita, T
AU  - Sugita T
FAU - Nishizawa, J
AU  - Nishizawa J
FAU - Yoshida, K
AU  - Yoshida K
FAU - Tokuda, Y
AU  - Tokuda Y
FAU - Matsuo, T
AU  - Matsuo T
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/surgery
MH  - *Bioprosthesis
MH  - Coronary Artery Bypass/*mortality
MH  - Coronary Disease/mortality/surgery
MH  - Female
MH  - Heart Valve Diseases/*mortality/surgery
MH  - Heart Valve Prosthesis Implantation/*mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/surgery
EDAT- 2004/05/21 05:00
MHDA- 2004/06/05 05:00
CRDT- 2004/05/21 05:00
PHST- 2004/05/21 05:00 [pubmed]
PHST- 2004/06/05 05:00 [medline]
PHST- 2004/05/21 05:00 [entrez]
PST - ppublish
SO  - Kyobu Geka. 2004 May;57(5):353-7.