Akademik Veri Yönetim Sistemi
Union of Thrace Universities 7th International Health Sciences Congress, January 21-22, 2025, Tekirdağ, Türkiye, 21 - 22 Ocak 2025, ss.133, (Özet Bildiri)
SURGICAL MEDICAL SCIENCES
_O5744
THE IMPORTANCE OF HEART TEAM FOR COMBINED CARDIAC SURGERY TO MINIMALLY INVASIVE RE-DO OPERATIONS AND HYBRID PROCEDURES
Özgür Barış1*
ABSTRACT
Aim: Currently, in many operations, the operative time and cross-clamping time should be carefully examined in patients with concomitant valve surgery and CABG. The selection of a prosthetic valve is crucial. When advanced age, combined surgery, and surgical risk are considered, early planning and heart team decision-making for redo operations in addition to prosthetic valve selection should be considered as a rational approach.
Methods: A 75-years-old male patient was diagnosed with symptomatic severe aortic stenosis and coronary artery disease (very critical proximal LAD and RCA stenosis). Normal sinus rhythm was observed. EF: 60%, LV diameters were normal. AVA:0.9 cm². The aortic gradient was 80/58 (max/mean) with 4.6 a jet velocity. No thoracic aortic aneurysms were observed. According to Euroscore II, the risk of “in-hospital mortality” was 8%. Sutureless AVR (PERCEVAL L-size+ CABGx2 has done.
Results: Implanting a well-functioned sutureless-aortic valve for < 25 minutes of aortic cross- clamping may have an excellent positive impact on the postoperative outcomes of high-risk patients undergoing CABG+AVR procedures.
Conclusions: In the past 4-5 years, early degeneration of bioprosthetic aortic valves has been frequently observed. Given the high risk of re-do surgery, advanced age, and absence of anticoagulant use in non-AF cases, valve-in-valve TAVI may complicate previous bioprosthetic valve selection protocols. The heart team’s decision is crucial and the joint council decisions on selecting prosthetic valves and grafts are also important.
Keywords: aortic valve ,cabg,heart team,hybrid procedures,sutureless aortic valve