From March, 1983 to June, 1994, twenty-two patients underwent coronary artery and combined operations. The ages of the patients fanged from 42 years to 72 years(mean 60.4±8.2 years). There were 17 male and 5 female patients. The left
ventricular(LV)
ejection fraction ranged from 25% to 65%(mean 46.9±14.2%). Nine patients had mechanical complication of myocardial infarction(MI), of which 5 were LV aneurysm, 3 ventricular septal defect and l mitral regurgitation. Nine patients had rheumatic
valvular
heart disease of whom 7 with aortic valve disease and 2 with mitral valve disease. Two other patients had left atrial thrombi, only one with atrial septal defect and another with aneurysm of ascending aorta. An average of 2.1±1.0 bypasses was
done,
ranging from one to four. There were 3 postoperative complications; 2 perioperative MI and l leg wound infection. Among complicated patients, mortality was l patient(4.5%) due to low cardiac output syndrome after perioperative MI. With 3 to 136
months
follow-up (mean 41.1±40.2 months), late mortality was l patient due to cerebral vascular accident. Among long-term survivors, all patients are in New York Heart Association functional class I or II.
Alt6hough the number of patients was small, our surgical results were favorable. Therefore we think that coronary revascularization combined with heart operation does not increase the operative risk when associated coronary artery disease is
present,
and it reduces the occurrence of late death.
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