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KMID : 0364019900230030514
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 3 p.514 ~ p.521
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Aortic Valve Replacement Concomitant with Aorto-Coronary Bypass Surgery
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정언섭/Jeong, E.S.
허강배/김창수/정종화/이재성/조성래/김송명/Huh, G.B./Kim, C.S./Jeong, J.H./Lee, J.S./Cho, S.R./Kim, S.M.
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Abstract
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Patient with aortic valvular disease have increased left ventricular work. and greater myocardial oxygen demend, which may aggrevate the effect of concomitant coronary artery disease. Thus in patient who repair aortic valve -replacement, concomitant aortocoronary bypass surgery is often performed when angiographically significant coronary artery disease is present. This approach is supported by reports that revascularization does not increase operative risk when associated coronary artery disease is present and ssgnificantly -reduce the occurrance of late sudden death.
Recently we have experienced one case of aortic valve replacement concomitant with aorto-coronary bypass surgery. The patient was 56 year-old male and admitted with complaint of anterior chest pain especially during his exercise. He was diagnosed as aortic valve stenosis and regurgitation (GIII) with proximal rig..t main coronary artery occlusion. We performed aortic valve replacement with aorto coronary bypass surgery by use of saphenous vein. Post operative course was uneventful and chest pain was relieved. Post operative coronary angiogram disclosed good patency of grafted vessel.
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KEYWORD
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