心脏瓣膜病变合并冠状动脉病变的外科治疗

Surgical management for the heart valve disease associated with coronary disease

目的分析探讨心脏瓣膜病变合并冠状动脉病变的外科治疗。方法分析50例心脏瓣膜替换术同期行冠状动脉旁路移植术病人的资料。结果4例发生低心排综合征，其中死亡1例。生存病例随访6—90个月。无心绞痛发作，无出血或血栓事件。结论心脏瓣膜替换术同期行冠状动脉旁路移植术安全、有效。良好的瓣膜病变矫治、心肌再血管化和心肌保护是手术成功的关键。

Objective To review the experience of surgical management for the heart valve disease associated with coronary disease. Methods Analyzing the data of 50 patients underwent concomitant valve operation and coronary artery bypass grafting retrospectively. Results One out of four patients had low cardiac output syndrome died. All survivors were followed up for 6 -90 months. No angina pectoris or hemorrhagic or thromboembolic events were observed. Conclusions Concomitant valve operation and coronary artery bypass graftingcan be successfully performed in appropriate candidates with good results.