Surgical tactics in the combined lesion of the coronary arteries and aortic valve

We have retrospectively analyzed a cohort of patients (n-32) with asymptomatic aortic valve lesion subjected to isolated coronary artery bypass and compared their with a group (n-47) receiving coronary artery bypass grafting and aortic valve replacement simultaneously at the first operation. No significant differences in the characteristics of patients in both groups were noted. Acute heart failure, perioperative myocardial infarction, heart arrhythmia, respiratory failure, most often observed among patients with one-stage operations. Hospital mortality among these patients was also higher. However, these differences were not significant. 6 (18,7%) patients with isolated coronary artery bypass grafting were subsequently re-operated due to progression of aortic stenosis. We noted that mean preoperative aortic gradient (34,8±4,4 versus 26,3±7,5 mm. рт. ст. p