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Eur J Cardiothorac Surg 2005;28:731-735
© 2005 Elsevier Science NL

Review

Aortic valve replacement following previous coronary surgery

Department of Cardiac Surgery, Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, UK

Received 7 June 2005; received in revised form 22 July 2005; accepted 28 July 2005.

^_* Corresponding author. Tel.: +44 141 201 0264. (Email: sgunpat{at}hotmail.com).

Aortic valve replacement following previous coronary surgery is associated with high risk. Major intraoperative problems include those associated with reentry, damage to the left internal mammary artery and myocardial protection. These factors influence operative results and eventual outcome to a large extent. The available evidence largely consists of retrospective series and case reports, with their own institutional bias, and it has been difficult to make specific recommendations on the basis of this evidence. However the article reviews the various surgical options available to manage this difficult subset of patients and discusses their pros and cons.

Key Words: Aortic valve replacement • Coronary artery bypass grafting • Re-operations • Review

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