The prognostic impact of concomitant coronary artery bypass grafting during aortic valve surgery: Implications for revascularization in the transcatheter.

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Presentation transcript:

The prognostic impact of concomitant coronary artery bypass grafting during aortic valve surgery: Implications for revascularization in the transcatheter era Nassir M. Thalji, MBChB, Rakesh M. Suri, MD, DPhil, Richard C. Daly, MD, Kevin L. Greason, MD, Joseph A. Dearani, MD, John M. Stulak, MD, Lyle D. Joyce, MD, Harold M. Burkhart, MD, Alberto Pochettino, MD, Zhuo Li, MSc, Robert L. Frye, MD, Hartzell V. Schaff, MD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 2, Pages 451-460.e2 (February 2015) DOI: 10.1016/j.jtcvs.2014.08.073 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Overall long-term survival estimates after isolated aortic valve replacement versus combined aortic valve replacement plus coronary artery bypass graft (CABG) surgery. Five- and 8-year survival rates for patients with coexistent aortic valve and coronary artery disease undergoing aortic valve replacement with or without concomitant CABG. Vertical bars are 68% confidence intervals representing ±1 standard error. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 451-460.e2DOI: (10.1016/j.jtcvs.2014.08.073) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Long-term survival estimates after isolated aortic valve replacement versus combined aortic valve replacement plus coronary artery bypass graft (CABG) surgery by coronary artery disease severity and location. Vertical bars are 68% confidence intervals representing ±1 standard error. A, 50% to 70% stenosis. B, >70% stenosis. C, Proximal stenosis. D, Nonproximal stenosis. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 451-460.e2DOI: (10.1016/j.jtcvs.2014.08.073) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Long-term survival estimates after isolated aortic valve replacement versus combined aortic valve replacement plus coronary artery bypass graft (CABG) surgery by coronary artery disease distribution. Vertical bars are 68% confidence intervals representing ±1 standard error. A, Single vessel disease. B, Double-vessel disease. C, Triple-vessel disease/left circumflex disease. D, Left anterior descending disease. E, Left circumflex disease. F, Right coronary artery disease. CAD, Coronary artery disease; LAD, left anterior descending; LCX, left circumflex; RCA, right coronary artery; LMA, left main artery. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 451-460.e2DOI: (10.1016/j.jtcvs.2014.08.073) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions