Clinical Observation of Coronary Artery Bypass Grafting with Heart Valve Replacement for Coronary Heart Disease with Heart Valvular Disease

  • Xiaoyu Zhou
  • Jiong Guo
  • Liliang Shu
  • Jing Xu
DOI: https://doi.org/10.18686/aem.v6i2.88
Keywords: coronary heart disease, valvular heart disease, coronary artery bypass grafting, valve replacement, simultaneous surgery

Abstract

Objective: To analyze and explore the clinical observation of coronary artery disease with coronary heart disease and coronary heart disease (CHD) undergoing coronary artery bypass grafting. Methods: From December 2015 to December 2016, 80 patients with coronary heart disease and heart valve were randomly divided into two groups: observation group and control group (40 cases). The observation group was treated with coronary artery bypass grafting combined with simultaneous heart valve replacement. The control group was treated with coronary stent implantation and non-synchronous valve replacement. The improvement of postoperative cardiac function, postoperative hospitalization, adverse events and bridge patency were compared between the two groups. Results: The improvement of cardiac function and the incidence of adverse events were significantly better in the observation group than in the control group (P <0.05). The time of hospitalization and the time of ventilator were significantly shorter than those of the control group (P <0.05). The patency rate of the bridge was significantly higher than that of the control group (P <0.05). Conclusion: Coronary artery bypass grafting combined with heart valve replacement in patients with coronary heart disease complicated with valvular heart disease can achieve significant curative effect, which is more ideal and safer than coronary artery bypass surgery combined with non-synchronous valve replacement.

References

1. Wang Wen Rui, Gao Chang Qing, Li Bo Jun, Wu Yang, Wang Rong, Xiao Cun Song, Sheng Wei. Heart Valve Replacement with Coronary Artery Bypass Grafting in 107 Cases of Clinical Analysis [J]. Medical Journal, 2012,07: 51-54.
2. Li Mei Sen, Zheng Bao Shi. Heart Valve Replacement Surgery in the Same Period of Coronary Artery Bypass Graft Surgery Nursing [J]. Minimally Invasive Medicine, 2014,05: 624-625 +621.
3. Zhang Guo Xin, Qiao Gang, Xia Dong Sheng. Coronary Artery Bypass Grafting in the Treatment of Coronary Heart Disease with Heart Valve Disease by Heart Valve Surgery [J]. Chinese Journal of Clinical Medicine, 2015,26: 74-75 + 80 The
4. Wang Wei Ling. Coronary Artery Bypass Grafting Valve Replacement Surgery [J]. General Nursing, 2011,32: 2955-2956.
5. Wang Yan. Coronary Artery Bypass Grafting In The Same Period Of Heart Valve Replacement Surgery [J]. Zhe Jiang Medical, 2015,09: 801-803.
6. Yu Bo, Liu Jin Ping, Qin Liang Guang, Chen Hong Ye, Tan Qi Ming. Heart Valve Surgery in The Same Period of Coronary Artery Bypass Grafting in 19 Cases [J]. Huai Hai Medicine, 2009,02: 131-132.
Published
2018-03-19
Issue
Vol 6 No 2 (2017)
Section
Original Research Article

Copyright (c) 2017 Xiaoyu Zhou

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