Results of surgical treatment of patients with coronary heart disease with degenerative aortic valve stenosis

Zhbanov I.V., Uryuzhnikov V.V., Mazitova D.I.

In recent decades, the number of elderly and senile residents has been growing, which is reflected in the increase in the number of cardiac surgical patients in these age groups. Coronary heart disease and degenerative aortic valve stenosis (DSAC) occupy a leading position among diseases of the cardiovascular system in elderly patients and in their combination lead to significant mortality due to adverse cardiovascular events. Surgical correction allows you to avoid fatal complications, and thereby increase the duration and improve the quality of life. However, the risk of combined coronary artery (CA) and aortic valve (AK) surgery in age-related patients according to a number of authors is very high and significantly exceeds that in younger patients. Therefore, the study of our own experience in the surgical treatment of such patients seems to us very relevant.

Objective. Analysis of the immediate results of surgical treatment of patients with coronary heart disease of different age groups with degenerative aortic valve damage

Materials and methods. The work is based on a retrospective analysis of the treatment results of 123 patients who underwent combined surgery for CHD and DSAC - coronary bypass surgery (CS) and AK prosthetics. All patients were divided into 2 groups depending on age: 77 patients - up to 70 years (group 1), 46 - over 70 (group 2).

Results. Perioperative myocardial infarction (MI) developed in 1 (1.3%) patient in 1 group and in 1 (2.2%) - in 2 (p > 0.05), acute heart failure (OSN) - in 7 (9.1%) patients in 1 group and in 5 (10.5%) - in 2 (p > 0.05). Episodes of atrial fibrillation were observed in 13 (16.8%) patients in Group 1 and in 9 (19.5%) patients in Group 2 (p > 0.05). Hospital mortality was 1.3% (n-1) in group 1 and 4.4% (n-2) in group 2 (p > 0.05)

Conclusion. The immediate results of combined CS surgery and AC prosthetics suggest an acceptable level of risk in CHD patients with degenerative AA stenosis in various age groups, including elderly and senile patients.

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