Among 100 patients who underwent cardiac catheterization for acquired valvular disease, selective coronary angiography showed in 25 cases obstructive changes of coronary arteries, in many instances of such severity as to modify the therapeutic program (myocardial revascularization associated with valvular repair, counterindication 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.
|Translated title of the contribution||Importance of coronarographic evaluation in valvular diseases for correct surgical indications|
|Number of pages||11|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - 1976|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine