J.Jpn. Surg. Soc.. 86(9): 1191-1194, 1985

---

Report on the annual meeting

SURGICAL THERAPY FOR THE PATIENT WITH VALVULAR LESION COMBINED WITH CORONARY DISEASE

We studied on operative indication, operative peoblem, and operative result in patients with valvular lesion with coronary disease. In 650 cases,51 cases combined with coronary stenosis and ACBG (9 cases) or OTCA (6 cases) were performed in 15 cases of them. For operative indication, ACBG was applied in case with proximal stenosis of more than 70％ and OTCA was applied in case with mild localized stenosis. Cardioplegia during operation was important and heart temperature should be kept less than 15℃. In those cases with combined operation, there were no early deaths but one late death (3 years after operation). After operation, chest pain disappeared and clinical syptom and ability for exercise were improved. According to NYHA classification, the improvement before and after operation were class I, none and 11 cases ; class II, one case and three cases ; class III, 12 cases and none and class IV, two cases and none.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.