Giuffrida G, Mazza F, Piscione F, Betocchi S, Farina V, Rengo F, Condorelli M
G Ital Cardiol. 1976;6(2):244-54.
Among 100 patients who underwent cardiac catheterization for acquired valvular disease, selective coronaryangiography showed in 25 cases obstructive changes of coronary arteries, in many instances of such severity to modify the therapeutic program (myocardial revascularization associated with valvular repair, counter-indication to surgical therapy). Coronary artery alterations were discovered in patients without clinical and electrocardiographic signs of coronary insufficiency, and, on the contrary, normal coronary tree was found in patients with positive clinical and electrocardiographic findings. The importance of coronarography in the haemodynamic study of valvular patients is stressed, even in absence of evident clinical signs of coronary insufficiency. The preoperative evaluation of the coronary arteries is fundamental for a correct surgical indication and for the results of surgical therapy.
在100例因后天性瓣膜病接受心导管检查的患者中，选择性冠状动脉造影显示25例存在冠状动脉阻塞性改变，在许多情况下其严重程度足以改变治疗方案（与瓣膜修复相关的心肌血运重建、手术治疗的禁忌证）。在无冠状动脉供血不足临床及心电图征象的患者中发现了冠状动脉改变，相反，在有阳性临床及心电图表现的患者中发现冠状动脉正常。强调了冠状动脉造影在瓣膜病患者血流动力学研究中的重要性，即使没有明显的冠状动脉供血不足临床征象。冠状动脉的术前评估对于正确的手术指征及手术治疗结果至关重要。
