Surgical treatment of elderly patients with coronary heart disease and degenerative aortic valve stenosis

Degenerative aortic valve stenosis is in the 3rd place after hypertension and coronary heart disease among cardiovascular diseases in the elderly population. Without surgical treatment, these patients have an unfavorable prognosis of life with a high mortality rate. Single-stage surgical correction myocardial revascularization and, as a rule, aortic valve replacement-is currently a radical method of treatment that can improve the prognosis and prolong the life of a patient with coronary heart disease and degenerative aortic valve stenosis. At the same time, combined interventions remain higher-risk operations compared to isolated AV prosthetics or aortocoronary bypass surgery. The purpose of this work is to determine the optimal tactics of surgical treatment of elderly patients with coronary heart disease and degenerative aortic valve stenosis. Materials and methods. Between 2010 and 2018, we operated 390 elderly patients. All patients were divided into 2 groups: the study group consisted of successively operated patients who underwent coronary bypass surgery and aortic valve replacement (n 54)...