Salvage Coronary Artery Bypass Predicts Increased Mortality During Aortic Root Operation

Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): W. Brent Keeling, John Hunting, Bradley G. Leshnower, Chad Stouffer, Jose Binongo, Edward P. ChenBackgroundAortic root replacement (ROOT) has been an established therapy, yet the impact of adding coronary artery bypass grafting (CABG) to ROOT (CABG-R) is unknown. The purpose of this research was to investigate the impact of CABG on the outcomes of ROOT.MethodsA retrospective review from 2004 to 2016 of patients undergoing nonemergent ROOT surgical procedure was performed. Cohorts were established based on the presence or absence of added CABG. A propensity-score weighted comparison of outcomes was then conducted.ResultsA total of 867 patients met inclusion criteria and were analyzed (711 ROOT [72.0%], 156 CABG-R [18.0%]). CABG-R patients were older and had higher proportions of previous valve operation, hypertension, endocarditis, immunosuppressive therapy, renal insufficiency, and redo operation (all p
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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