Coronary artery bypass surgery in association with other cardiac procedures: Difference between revisions

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**The additional time required to construct the [[Coronary artery bypass surgery|coronary bypass]] while the patient is on [[cardiopulmonary bypass]]
**The additional time required to construct the [[Coronary artery bypass surgery|coronary bypass]] while the patient is on [[cardiopulmonary bypass]]
*Studies that were done on [[patients]] between the [[Ageing|ages of 75 and 84 years]] show that [[Ageing|age]] is not a prohibitive [[risk factor]] for adding [[CABG]] to other [[cardiac surgeries]].<ref name="pmid23467192">{{cite journal| author=Abel NJ, Rogal GJ, Burns P, Saunders CR, Chamberlain RS| title=Aortic valve replacement with and without coronary artery bypass graft surgery in octogenarians: is it safe and feasible? | journal=Cardiology | year= 2013 | volume= 124 | issue= 3 | pages= 163-73 | pmid=23467192 | doi=10.1159/000346153 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23467192  }} </ref><ref name="pmid26183193">{{cite journal| author=Agarwal S, Garg A, Parashar A, Svensson LG, Tuzcu EM, Navia JL | display-authors=etal| title=In-hospital mortality and stroke after surgical aortic valve replacement: A nationwide perspective. | journal=J Thorac Cardiovasc Surg | year= 2015 | volume= 150 | issue= 3 | pages= 571-8.e8 | pmid=26183193 | doi=10.1016/j.jtcvs.2015.05.068 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26183193  }} </ref><ref name="pmid20100705">{{cite journal| author=Carnero-Alcázar M, Reguillo-Lacruz F, Alswies A, Villagrán-Medinilla E, Maroto-Castellanos LC, Rodríguez-Hernández J| title=Short- and mid-term results for aortic valve replacement in octogenarians. | journal=Interact Cardiovasc Thorac Surg | year= 2010 | volume= 10 | issue= 4 | pages= 549-54 | pmid=20100705 | doi=10.1510/icvts.2009.218040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20100705  }} </ref> Although risk increases in [[patients]] older than 85 years of age.<ref name="pmid24070699">{{cite journal| author=Li Z, Anderson I, Amsterdam EA, Young JN, Parker J, Armstrong EJ| title=Effect of coronary artery disease extent on contemporary outcomes of combined aortic valve replacement and coronary artery bypass graft surgery. | journal=Ann Thorac Surg | year= 2013 | volume= 96 | issue= 6 | pages= 2075-82 | pmid=24070699 | doi=10.1016/j.athoracsur.2013.07.035 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24070699  }} </ref>
*Studies that were done on [[patients]] between the [[Ageing|ages of 75 and 84 years]] show that [[Ageing|age]] is not a prohibitive [[risk factor]] for adding [[CABG]] to other [[cardiac surgeries]].<ref name="pmid23467192">{{cite journal| author=Abel NJ, Rogal GJ, Burns P, Saunders CR, Chamberlain RS| title=Aortic valve replacement with and without coronary artery bypass graft surgery in octogenarians: is it safe and feasible? | journal=Cardiology | year= 2013 | volume= 124 | issue= 3 | pages= 163-73 | pmid=23467192 | doi=10.1159/000346153 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23467192  }} </ref><ref name="pmid26183193">{{cite journal| author=Agarwal S, Garg A, Parashar A, Svensson LG, Tuzcu EM, Navia JL | display-authors=etal| title=In-hospital mortality and stroke after surgical aortic valve replacement: A nationwide perspective. | journal=J Thorac Cardiovasc Surg | year= 2015 | volume= 150 | issue= 3 | pages= 571-8.e8 | pmid=26183193 | doi=10.1016/j.jtcvs.2015.05.068 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26183193  }} </ref><ref name="pmid20100705">{{cite journal| author=Carnero-Alcázar M, Reguillo-Lacruz F, Alswies A, Villagrán-Medinilla E, Maroto-Castellanos LC, Rodríguez-Hernández J| title=Short- and mid-term results for aortic valve replacement in octogenarians. | journal=Interact Cardiovasc Thorac Surg | year= 2010 | volume= 10 | issue= 4 | pages= 549-54 | pmid=20100705 | doi=10.1510/icvts.2009.218040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20100705  }} </ref> Although risk increases in [[patients]] older than 85 years of age.<ref name="pmid24070699">{{cite journal| author=Li Z, Anderson I, Amsterdam EA, Young JN, Parker J, Armstrong EJ| title=Effect of coronary artery disease extent on contemporary outcomes of combined aortic valve replacement and coronary artery bypass graft surgery. | journal=Ann Thorac Surg | year= 2013 | volume= 96 | issue= 6 | pages= 2075-82 | pmid=24070699 | doi=10.1016/j.athoracsur.2013.07.035 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24070699  }} </ref>
*Numerous [[observational studies]] and [[meta-analyses]] demonstrated similar long-term survival and [[Quality of life|health-related quality of life]] in [[patients]] who underwent [[aortic valve replacement]] with concomitant [[CABG]] compared to those without [[coronary heart disease]].<ref name="pmid22386959">{{cite journal| author=Roberts WC, Roberts CC, Vowels TJ, Ko JM, Filardo G, Hamman BL | display-authors=etal| title=Effect of coronary bypass and valve structure on outcome in isolated valve replacement for aortic stenosis. | journal=Am J Cardiol | year= 2012 | volume= 109 | issue= 9 | pages= 1334-40 | pmid=22386959 | doi=10.1016/j.amjcard.2011.12.028 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22386959  }} </ref><ref name="pmid23428216">{{cite journal| author=Beach JM, Mihaljevic T, Svensson LG, Rajeswaran J, Marwick T, Griffin B | display-authors=etal| title=Coronary artery disease and outcomes of aortic valve replacement for severe aortic stenosis. | journal=J Am Coll Cardiol | year= 2013 | volume= 61 | issue= 8 | pages= 837-48 | pmid=23428216 | doi=10.1016/j.jacc.2012.10.049 | pmc=4262244 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23428216  }} </ref><ref name="pmid23415689">{{cite journal| author=Shan L, Saxena A, McMahon R, Wilson A, Newcomb A| title=A systematic review on the quality of life benefits after aortic valve replacement in the elderly. | journal=J Thorac Cardiovasc Surg | year= 2013 | volume= 145 | issue= 5 | pages= 1173-89 | pmid=23415689 | doi=10.1016/j.jtcvs.2013.01.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23415689  }} </ref><ref name="pmid22980309">{{cite journal| author=Vasques F, Lucenteforte E, Paone R, Mugelli A, Biancari F| title=Outcome of patients aged ≥80 years undergoing combined aortic valve replacement and coronary artery bypass grafting: a systematic review and meta-analysis of 40 studies. | journal=Am Heart J | year= 2012 | volume= 164 | issue= 3 | pages= 410-418.e1 | pmid=22980309 | doi=10.1016/j.ahj.2012.06.019 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22980309  }} </ref><ref name="pmid24070699">{{cite journal| author=Li Z, Anderson I, Amsterdam EA, Young JN, Parker J, Armstrong EJ| title=Effect of coronary artery disease extent on contemporary outcomes of combined aortic valve replacement and coronary artery bypass graft surgery. | journal=Ann Thorac Surg | year= 2013 | volume= 96 | issue= 6 | pages= 2075-82 | pmid=24070699 | doi=10.1016/j.athoracsur.2013.07.035 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24070699  }} </ref>
===2021 ACA Revascularization Guideline<ref name="pmid34895950">{{cite journal| author=Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM | display-authors=etal| title=2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=J Am Coll Cardiol | year= 2022 | volume= 79 | issue= 2 | pages= e21-e129 | pmid=34895950 | doi=10.1016/j.jacc.2021.09.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34895950  }} </ref>===
===2021 ACA Revascularization Guideline<ref name="pmid34895950">{{cite journal| author=Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM | display-authors=etal| title=2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=J Am Coll Cardiol | year= 2022 | volume= 79 | issue= 2 | pages= e21-e129 | pmid=34895950 | doi=10.1016/j.jacc.2021.09.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34895950  }} </ref>===
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Revision as of 04:02, 5 September 2022

Coronary Artery Bypass Surgery Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2] Anahita Deylamsalehi, M.D.[3]

Coronary Artery Bypass Surgery in Association with Other Cardiac Procedures

2021 ACA Revascularization Guideline[1]

Class 1 Recommendation, Level of Evidence:C-LD
In a patient with significant coronary heart disease who is undergoing another cardiac surgery, such as valve surgery and aortic surgery, CABG is recommended with a goal of reducing ischemic events.[2][3][10][4][11][6][7][8][9][12][13]
Class 2b Recommendation, Level of Evidence:C-LD
In a patient with intermediate coronary heart disease who is undergoing another cardiac surgery, such as valve surgery and aortic surgery, CABG may be reasonable with a goal of reducing ischemic events.[11][7][12][5]

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[14]

Class I
"1. CABG is recommended in patients undergoing noncoronary cardiac surgery with greater than or equal to 50% luminal diameter narrowing of the left main coronary artery or greater than or equal to 70% luminal diameter narrowing of other major coronary arteries. (Level of Evidence: C)"
Class IIa
"1. The use of the LIMA is reasonable to bypass a significantly narrowed LAD artery in patients undergoing noncoronary cardiac surgery. (Level of Evidence: C)"
"2. CABG of moderately diseased coronary arteries (>50% luminal diameter narrowing) is reasonable in patients undergoing noncoronary cardiac surgery. (Level of Evidence: C)"

References

  1. 1.0 1.1 Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM; et al. (2022). "2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". J Am Coll Cardiol. 79 (2): e21–e129. doi:10.1016/j.jacc.2021.09.006. PMID 34895950 Check |pmid= value (help).
  2. 2.0 2.1 Abel NJ, Rogal GJ, Burns P, Saunders CR, Chamberlain RS (2013). "Aortic valve replacement with and without coronary artery bypass graft surgery in octogenarians: is it safe and feasible?". Cardiology. 124 (3): 163–73. doi:10.1159/000346153. PMID 23467192.
  3. 3.0 3.1 Agarwal S, Garg A, Parashar A, Svensson LG, Tuzcu EM, Navia JL; et al. (2015). "In-hospital mortality and stroke after surgical aortic valve replacement: A nationwide perspective". J Thorac Cardiovasc Surg. 150 (3): 571–8.e8. doi:10.1016/j.jtcvs.2015.05.068. PMID 26183193.
  4. 4.0 4.1 Carnero-Alcázar M, Reguillo-Lacruz F, Alswies A, Villagrán-Medinilla E, Maroto-Castellanos LC, Rodríguez-Hernández J (2010). "Short- and mid-term results for aortic valve replacement in octogenarians". Interact Cardiovasc Thorac Surg. 10 (4): 549–54. doi:10.1510/icvts.2009.218040. PMID 20100705.
  5. 5.0 5.1 5.2 Li Z, Anderson I, Amsterdam EA, Young JN, Parker J, Armstrong EJ (2013). "Effect of coronary artery disease extent on contemporary outcomes of combined aortic valve replacement and coronary artery bypass graft surgery". Ann Thorac Surg. 96 (6): 2075–82. doi:10.1016/j.athoracsur.2013.07.035. PMID 24070699.
  6. 6.0 6.1 Roberts WC, Roberts CC, Vowels TJ, Ko JM, Filardo G, Hamman BL; et al. (2012). "Effect of coronary bypass and valve structure on outcome in isolated valve replacement for aortic stenosis". Am J Cardiol. 109 (9): 1334–40. doi:10.1016/j.amjcard.2011.12.028. PMID 22386959.
  7. 7.0 7.1 7.2 Beach JM, Mihaljevic T, Svensson LG, Rajeswaran J, Marwick T, Griffin B; et al. (2013). "Coronary artery disease and outcomes of aortic valve replacement for severe aortic stenosis". J Am Coll Cardiol. 61 (8): 837–48. doi:10.1016/j.jacc.2012.10.049. PMC 4262244. PMID 23428216.
  8. 8.0 8.1 Shan L, Saxena A, McMahon R, Wilson A, Newcomb A (2013). "A systematic review on the quality of life benefits after aortic valve replacement in the elderly". J Thorac Cardiovasc Surg. 145 (5): 1173–89. doi:10.1016/j.jtcvs.2013.01.004. PMID 23415689.
  9. 9.0 9.1 Vasques F, Lucenteforte E, Paone R, Mugelli A, Biancari F (2012). "Outcome of patients aged ≥80 years undergoing combined aortic valve replacement and coronary artery bypass grafting: a systematic review and meta-analysis of 40 studies". Am Heart J. 164 (3): 410–418.e1. doi:10.1016/j.ahj.2012.06.019. PMID 22980309.
  10. Biancari F, Martin M, Bordin G, Vettore E, Vinco G, Anttila V; et al. (2014). "Basic data from 176 studies on the immediate outcome after aortic valve replacement with or without coronary artery bypass surgery". J Cardiothorac Vasc Anesth. 28 (5): 1251–6. doi:10.1053/j.jvca.2013.07.020. PMID 24290746.
  11. 11.0 11.1 Di Gioia G, Pellicano M, Toth GG, Casselman F, Adjedj J, Van Praet F; et al. (2016). "Clinical Outcome of Patients with Aortic Stenosis and Coronary Artery Disease Not Treated According to Current Recommendations". J Cardiovasc Transl Res. 9 (2): 145–52. doi:10.1007/s12265-016-9680-6. PMID 26883368.
  12. 12.0 12.1 Thalji NM, Suri RM, Daly RC, Greason KL, Dearani JA, Stulak JM; et al. (2015). "The prognostic impact of concomitant coronary artery bypass grafting during aortic valve surgery: implications for revascularization in the transcatheter era". J Thorac Cardiovasc Surg. 149 (2): 451–60. doi:10.1016/j.jtcvs.2014.08.073. PMID 25308117.
  13. Yamanaka K, Komiya T, Tsuneyoshi H, Shimamoto T (2016). "Outcomes of Concomitant Total Aortic Arch Replacement with Coronary Artery Bypass Grafting". Ann Thorac Cardiovasc Surg. 22 (4): 251–7. doi:10.5761/atcs.oa.16-00056. PMC 5045853. PMID 27237968.
  14. Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.

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