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Concurrent Aortic Valve Replacement and Coronary Artery Bypass Grafting: Early Outcome and Predictors of Mortality استبدال الصمام الأورطي المتزامن وتطعيم مجازة الشريان التاجي: النتائج المبكرة والمتنبئات بالوفيات
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Samy Fadaly
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Hospital Medicine Pan Arab League of Continuous Medical Education
Volume:
Keywords :
Concurrent Aortic Valve Replacement , Coronary Artery
Abstract:
Background: The most prevalent structural heart valve condition that affects the aging population is degenerative aortic stenosis (AS). Conflicting reports have been reported on the effect of concomitant coronary artery bypass grafting (CABG) and aortic valve replacement (AVR) in patients with AS. Objective: At our medical center, we aimed to investigate outcomes of patients that occurred following AVR for AS conditions with and without CABG. Patients and Methods: A prospective study was performed in the Cardiothoracic Surgery Department from February 2019 to January 2021. A total of 50 patients were enrolled in the study and were equally divided into two groups. Group A involved patients who had an isolated AVR (n = 25). At the same time, Group B included patients who underwent AVR in conjunction with CABG (n = 25). AVR and all bypass anastomoses were performed under intermittent antegrade cold blood cardioplegia. Furthermore, we compared demographic, preoperative, operative, and postoperative data within groups. Results: Our finding revealed that the combination surgery patients were significantly older than the AVR patients (63.4 ± 8.7 vs. 57.7 ± 6.9 years; p = 0.014). The hospital mortality rate was similar in the combined procedure and AVR. The aortic cross-clamp time and cardiopulmonary bypass time were significantly longer in AVR + CABG compared to AVR patients (p < 0.0001). One-year postoperative improvements were reported in the NYHA class, with only one hospital mortality case among the two groups. Conclusions: We concluded that with optimal myocardial protection, minimal cross-clamp, and cardiopulmonary bypass time, in addition to the ideal and precise technique, the combined result of CABG-AVR was comparable to that of isolated CABG or AVR.
Author Related Publications
Ahmed Samy Fadaly, "Efficacy of Primary Closure Technique in Treatment of Post-Sternotomy Mediastinitis in Paediatric Group: A Randomized Controlled Trial فعالية تقنية الإغلاق الأولية في علاج التهاب المنصف بعد بضع القص في مجموعةجراحة قلب الأطفال: تجربة معشاة ذات شواهد", Dovepress, 2022
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Ahmed Samy Fadaly, "Perioperative hyperglycemia: a strong predictor for atrial fibrillation after coronary artery bypass grafting surgery ارتفاع السكر في الدم حول الجراحة: مؤشر قوي على الرجفان الأذين بعد جراحة تطعيم مجازة الشريان التاجي", Published by Wolters Kluwer - Medknow, 2021
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Ahmed Samy Fadaly, "Mitral Valve Repair with Flexible Versus Rigid Annuloplasty Device in Degenerative Mitral Regurgitation إصلاح الصمام الميترالي باستخدام الحلقه المرنه مقابل الصلبه في ارتجاع الصمام المترالي التنكسي", Pan Arab League of Continuous Medical Education, 2021
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Ahmed Samy Fadaly, "Outcome of thoracotomy wound closure using rib drill and transcostal sutures in middle age patients نتيجة إغلاق جرح بضع الصدر باستخدام حفر الضلع والخيوط عبر الضلع في مرضى منتصف العمر.", Zagazig University, Faculty of Medicine, 2022
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Ahmed Samy Fadaly, "Bronchoscopic cryotherapy in the treatment of endobronchial typical carcinoid العلاج بالتبريد باستخدام المنظار القصبي في حالات السرطان داخل القصبه الهوائيه", Pan Arab League of Continuous Medical Education, 2023
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Department Related Publications
Ali Mohamed Refat Ali Soliman, "The outcome of surgical management of stab wounds of the heart: Analysis of 115 cases", society of cardiothoracic surgery, 2013
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Mohammed Abdalsadeg Mouhmed, "Fate of Moderate Tricuspid Regurgitation after Rheumatic Mitral Valve Surgery.", zagzig uniersity, 2004
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Ahmed Mohamed Amin Bakri, "Value of plasma fibulin-3 levels in the diagnosis of malignant pleural mesothelioma effusions", The Egyptian Societyl of Chest Diseases and Tuberculosis, 2014
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Mahmoud Mohamed Ibrahim AbedRabbo, "DIFFERENT MODALITIES FOR MANAGEMENT OF RETAINED HAEMOTHORAX", The Journal of Egyptian Society Cardiothoracic Surgery, 2009
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Dina Mohamed Osman Mohamed Heussein, "Managing neonatal spontaneous pneumothorax: Experience in 73 neonates", zagaziig university medical journal, 2021
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