Korelidis George, McFadyen Rory, Fang Chen Chuan, Qsous Ghaith, Zamvar Vipin
Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, GBR.
Cureus. 2023 Jul 30;15(7):e42692. doi: 10.7759/cureus.42692. eCollection 2023 Jul.
Aortic valve replacement (AVR) remains the treatment of choice for severe aortic stenosis. Despite the growing number of transcatheter AVR (TAVR) in younger and intermediate-to-low-risk patients, surgical AVR (SAVR) is widely used and retains low operative mortality, low rate of complications, and predictable long-term valve durability. Although it is a straightforward procedure, on some occasions, a surgeon could face challenging situations, such as compromised coronary flow and an inability to wean the patient from cardiopulmonary bypass (CPB). Our patient required concomitant coronary artery bypass grafting to overcome biventricular failure and facilitate successful weaning from CPB.
主动脉瓣置换术（AVR）仍然是重度主动脉瓣狭窄的首选治疗方法。尽管经导管主动脉瓣置换术（TAVR）在年轻及中低风险患者中的应用越来越多，但外科主动脉瓣置换术（SAVR）仍被广泛使用，且保持着较低的手术死亡率、并发症发生率以及可预测的长期瓣膜耐久性。虽然这是一个简单直接的手术，但在某些情况下，外科医生可能会面临具有挑战性的情况，如冠状动脉血流受损以及无法使患者脱离体外循环（CPB）。我们的患者需要同时进行冠状动脉旁路移植术，以克服双心室衰竭并促进成功脱离CPB。
