PMID- 29439144
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20240316
IS  - 1573-4935 (Electronic)
IS  - 0144-8463 (Print)
IS  - 0144-8463 (Linking)
VI  - 38
IP  - 2
DP  - 2018 Apr 27
TI  - Coronary computed tomography angiography detection of short- and long-term 
      outcomes after heart valve surgery with high risk cardiovascular patients.
LID - BSR20171450 [pii]
LID - 10.1042/BSR20171450 [doi]
AB  - Coronary computed tomography angiography (CCTA) is a promising alternative 
      technique to detect significant coronary artery lesions in high-risk 
      cardiovascular patients with left ventricular dysfunction (left ventricular 
      ejection fractions < 40%) referred for elective valve surgery, while little 
      research about the use of CCTA to detect the outcomes of heart valve surgery was 
      performed. Forty-six consecutive high-risk cardiovascular patients with the New 
      York Heart Association (NYHA) classification were retrospectively studied. 
      Immediate, 10-week, 20-week, and 40-week outcomes after heart valve surgery were 
      assessed with CCTA. Patients' average age at the time of surgery was 73 years, 
      with the majority being male (54.35%). Among the CCTA parameters detected after 
      10, 20, and 40 weeks after heart valve surgery, only segment involvement score 
      (SIS) did reach statistical significance when compared with baseline levels. The 
      cumulative mortality rate at 10, 20, and 40 weeks were 19.56%, 30.43%, and 39.13% 
      respectively. It can be seen that the early death is mainly due to complications, 
      and with the time-lapse of surgery, the impact of complications on death is 
      gradually eliminated. CCTA might be a useful tool to detect the outcomes of 
      short- and long-term outcomes after heart valve surgery with high risk 
      cardiovascular patients, and SIS level is associated with the short- and 
      long-term outcomes.
CI  - (c) 2018 The Author(s).
FAU - Zhu, Zhi
AU  - Zhu Z
AD  - Department of Radiology, Cangzhou Central Hospital, Cangzhou 061001, Hebei 
      Province, China.
FAU - Li, Shuofeng
AU  - Li S
AD  - Department of Radiology, Cangzhou Central Hospital, Cangzhou 061001, Hebei 
      Province, China lsf04221025@126.com.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20180309
PL  - England
TA  - Biosci Rep
JT  - Bioscience reports
JID - 8102797
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Coronary Angiography
MH  - *Coronary Artery Disease/diagnostic imaging/etiology/mortality
MH  - Disease-Free Survival
MH  - Heart Valves/diagnostic imaging/*surgery
MH  - Humans
MH  - *Postoperative Complications/diagnostic imaging/mortality
MH  - Retrospective Studies
MH  - Survival Rate
MH  - *Tomography, X-Ray Computed
PMC - PMC5843749
OTO - NOTNLM
OT  - Concomitant coronary artery disease (CAD)
OT  - Coronary computed tomography angiography (CCTA)
OT  - heart valve surgery
COIS- The authors declare that there are no competing interests associated with the 
      manuscript.
EDAT- 2018/02/14 06:00
MHDA- 2018/12/12 06:00
PMCR- 2018/03/09
CRDT- 2018/02/14 06:00
PHST- 2017/10/27 00:00 [received]
PHST- 2018/01/27 00:00 [revised]
PHST- 2018/02/06 00:00 [accepted]
PHST- 2018/02/14 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
PHST- 2018/02/14 06:00 [entrez]
PHST- 2018/03/09 00:00 [pmc-release]
AID - BSR20171450 [pii]
AID - 10.1042/BSR20171450 [doi]
PST - epublish
SO  - Biosci Rep. 2018 Mar 9;38(2):BSR20171450. doi: 10.1042/BSR20171450. Print 2018 
      Apr 27.