Coronary Artery Disease, Heart Valve Diseases
Conditions
Brief summary
It is well documented in the literature that myocardial revascularization during valve surgery increases the risk of early mortality and morbidity. According to the most recent version of the European Guidelines, the possibility of myocardial revascularization via coronary artery bypass should be evaluated in patients with an indication for surgical treatment of heart valve disease but with coronary artery stenosis ≥ 50-70%. In this study, patients hospitalized for surgical heart valve disease, with occasional pre-operative finding of ≥ 50-70% coronary artery stenosis, without angina, are examined. After interdisciplinary discussion in the Heart Team, it was decided not to treat coronary artery disease during valve surgery. The aim is to evaluate the short and medium-term results of this conscious omission.
Interventions
PROCEDUREValvular interventions
Any kind of intervention on heart valves
Sponsors
Michele De Bonis
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients * Presence of valve disease of surgical interest. * Occasional pre-operative finding of coronary stenosis \>= 50-70%.
Exclusion criteria
* angina
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival | through study completion, a minimum of 18 months |
| Percutaneous revascularization risk | through study completion, a minimum of 18 months |
Countries
Italy
Outcome results
None listed