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

Friday, September 11, 2020

Submitted by

Emily Robinson

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://doi.org/10.1093/ejcts/ezaa047

Author(s)

Benedetto Del Forno, Guido Ascione, Elisabetta Lapenna, Cinzia Trumello, Stefania Ruggeri, Igor Belluschi, Alessandro Verzini, Giuseppe Iaci, David Ferrara, Davide Schiavi, Roberta Meneghin, Alessandro Castiglioni, Ottavio Alfieri, Michele De Bonis

Del Forno et al. present a retrospective study of 77 patients with de-novo 50-70% coronary stenosis undergoing valvular surgery. In these patients, bypass grafting of these coronaries was intentionally omitted. Within their cohort they did not observe any perioperative mortality and there was only one acute coronary syndrome leading to PCI and the overall PCI rate at six years was only 8 +/- 3.9%. Therefore, it seems to be safe to not bypass such stenosis and leave it to later follow-up and ischemia diagnostics.