Concurrent Coronary Artery and Valvular Heart Disease: Hybrid Treatment Strategies in 2013

by Columbia Surgery on December 16, 2013

A review published by Columbia University Heart Valve Center’s doctors: Kendra J Grubb, MD*; Tamim Nazif, MD; Mathew R. Williams, MD; and Isaac George, MD

450813071Having both heart valve disease and Coronary Artery Disease (CAD) is a common health problem in our aging population. Statistics show patients who have aortic stenosis frequently experience CAD symptoms too, and this only increases with age.   Among those with aortic stenosis, 50% of patients over the age of 50 have CAD symptoms; this percentage increases to 65% among patients over 80 years of age.

Traditionally, to treat both a faulty valve and a blocked artery, a patient would need two types of invasive surgery: coronary Artery Bypass Grafting (CABG), more commonly referred to as bypass surgery, as well as valve repair or replacement surgery. Undergoing bypass surgery at the same time as valve surgery, however, doubles a person’s risk for operative complications. In addition, elderly patients are more likely to have other factors that can increase surgical risk, such as having had prior surgery, or they may be “too-sick” to undergo traditional surgery.

Hybrid procedures are newer alternatives that combine conventional surgery techniques and interventional cardiology procedures. They enable surgeons to use a more minimally invasive surgical approach, or transform a single high-risk surgery into two less risky procedures. This approach may provide new options to patients previously considered too high-risk for traditional surgery, while at the same time improving patient comfort, convenience, and cost-effectiveness.

Surgeon Inserting Tube Into Patient During SurgeryPublished in Radcliffe Cardiology, Columbia University Heart Valve Center’s doctors Kendra J Grubb, MD*, Tamim Nazif, MD, Mathew R. Williams, MD, and Isaac George, MD reviewed studies surrounding hybrid cardiac surgery, evaluating data ranging from who it would benefit, procedures currently being offered, and its cost-effectiveness.

“Hybrid procedures performed by qualified operators pave the way to take advantage of the proven efficacy of cardiac surgery with the exciting and innovative new technology we are using in interventional cardiology,” says Ziad Ali MD, DPhil. “This article nicely reviews the rationale for doing these procedures, which patients are best served with a hybrid procedure, how the procedures are performed, and the current outcomes to date. It is a useful read for both patients and doctors interested in these new techniques.”

To read the complete article, please visit: Concurrent Coronary Artery and Valvular Heart Disease – Hybrid Treatment Strategies in 2013

*Kendra J Grubb, MD was completing her fellowship in Interventional Cardiology and Trans-Catheter Cardiac Therapies at the time the paper was written.

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