@Article{Ostrowski2012,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="9",
number="2",
year="2012",
title="DZIELMY SIĘ DOŚWIADCZENIEMSimultaneous myocardial revascularization and aortic valve decalcification in patients operated on for coronary artery disease",
abstract=" Introduction : Aortic stenosis is the most common acquired cardiac defect. Its prevalence increases with age and among patients above 65 years it occurs in 2-7%. Surgical prosthetic or bioprosthetic valve implantation remains the treatment   of choice. Complexity of the surgery is one of the principal operative risk factors.    Aim of the study : The aim of this study was to present the re-  sults of surgical treatment of patients operated on for coronary artery disease and aortic stenosis, in whom the native valve was preserved, thanks to its debridement.   Material and methods : Three patients, aged 69-74, were admitted to the Cardiac Surgery Clinic in Lodz in order to conduct surgical myocardial revascularization. Preoperative echocardiography confirmed co-existence of moderate aortic stenosis (transvalvular maximal gradient 51-59 mm Hg) in each case and good ejection fraction (EF) ranging from 49 to 74%. During surgery, there were firstly aorto-coronary anastomoses implanted. Intraoperative assessment allowed preservation of the aortic valve and decalcification was performed in two cases with additional commissurotomy in one case. The postoperative echocardiography revealed a good effect of the operation (maximal gradient 25-40 mm Hg), which was confirmed to be maintained in the follow-up. In one patient the 5-year follow-up disclosed quite an advanced organic defect without clinical aggravation, which has remained unchanged for the last   two years.       Conclusions : In asymptomatic or fairly symptomatic patients with moderate aortic stenosis eligible for implantation of aorto-coronary anastomoses, decalcification may be more favorable management. Numerous operative risk factors such as co-morbidities and advanced age should suggest this choice of treatment.",
author="Ostrowski, Stanisław
and Marcinkiewicz, Anna
and Kośmider, Anna
and Pawłowski, Witold
and Zwoliński, Radosław
and Jaszewski, Ryszard",
pages="252--256",
url="https://www.termedia.pl/DZIELMY-SIE-DOSWIADCZENIEM-Simultaneous-myocardial-revascularization-and-aortic-valve-decalcification-in-patients-operated-on-for-coronary-artery-disease,40,18936,1,1.html"
}