First-Time, Isolated Surgical Aortic Valve Replacement After Prior Coronary Artery Bypass Surgery: Results from the RECORD Multicenter Registry

This multi-centre registry study assessed peri-operative and long-term outcomes in patients who underwent isolated surgical aortic valve replacement (AVR) who had previous undergone coronary artery bypass graft surgery (CABG). The study included 113 patients who underwent AVR after previous CABG across seven centres between 2000-2013. Clamping of a patent IMA graft was performed in the majority of cases. The in-hospital mortality rate was 4.4% with a predicted risk of in-hospital mortality according to EuroSCORE II of  10.3%. The post-operative stroke rate was 8.0% with just under 20% of patients requiring a prolonged ITU stay. Five-year survival was 88.4%.