Is Myocardial Revascularization Really Necessary in Patients With ≥50-70% Coronary Stenosis Undergoing Valvular Surgery?

Michele De Bonis

Status: Completed

Conditions: Heart Valve Diseases; Coronary Artery Disease

Treatments: Procedure: Valvular interventions

Study type: Observational

Funder types: Other

Identifiers

NCT05836467

NO-CABG

Details and patient eligibility

About

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".

Enrollment: 77 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• adult patients
• Presence of valve disease of surgical interest.
• Occasional pre-operative finding of coronary stenosis >= 50-70%.

Exclusion criteria

• angina