Distribution of coronary artery disease in patients with isolated aortic valve disease

W. V R Vieweg, D. G. Tretheway, Joseph S Alpert, A. D. Hagan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

44 adult patients with isolated aortic valve disease underwent coronary arteriography. 70% of patients required aortic valve replacement (AVR). Of 28 men who underwent AVR, 59% of those with severe aortic stenosis, 33% of those with severe aortic regurgitation and 50% of those with mixed aortic stenosis/aortic regurgitation had associated coronary artery disease. 36% of men with aortic valve disease not requiring AVR had significant coronary artery disease (CAD). CAD was not found in the 5 female patients studied. In the patients with CAD, the left anterior descending artery was involved 84% of the time. Next in frequency were the right coronary artery, the proximal left circumflex artery, and the obtuse marginal artery. Multivessel disease was the rule. All but one patient with significant CAD had angina pectoris, but many patients with angina had normal coronary arteries. The frequent occurrence of significant CAD in adult male patients with isolated aortic valve disease argues for the performance of selective coronary arteriography in all such patients in whom AVR is a consideration.

Original languageEnglish (US)
Pages (from-to)9-12
Number of pages4
JournalJournal of Cardiovascular Surgery
Volume17
Issue number1
StatePublished - 1976
Externally publishedYes

Fingerprint

Aortic Diseases
Aortic Valve
Coronary Artery Disease
Aortic Valve Insufficiency
Arteries
Aortic Valve Stenosis
Coronary Vessels
Angiography
Angina Pectoris

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Distribution of coronary artery disease in patients with isolated aortic valve disease. / Vieweg, W. V R; Tretheway, D. G.; Alpert, Joseph S; Hagan, A. D.

In: Journal of Cardiovascular Surgery, Vol. 17, No. 1, 1976, p. 9-12.

Research output: Contribution to journalArticle

@article{aa66b1971fd747e48083d47912f041fc,
title = "Distribution of coronary artery disease in patients with isolated aortic valve disease",
abstract = "44 adult patients with isolated aortic valve disease underwent coronary arteriography. 70{\%} of patients required aortic valve replacement (AVR). Of 28 men who underwent AVR, 59{\%} of those with severe aortic stenosis, 33{\%} of those with severe aortic regurgitation and 50{\%} of those with mixed aortic stenosis/aortic regurgitation had associated coronary artery disease. 36{\%} of men with aortic valve disease not requiring AVR had significant coronary artery disease (CAD). CAD was not found in the 5 female patients studied. In the patients with CAD, the left anterior descending artery was involved 84{\%} of the time. Next in frequency were the right coronary artery, the proximal left circumflex artery, and the obtuse marginal artery. Multivessel disease was the rule. All but one patient with significant CAD had angina pectoris, but many patients with angina had normal coronary arteries. The frequent occurrence of significant CAD in adult male patients with isolated aortic valve disease argues for the performance of selective coronary arteriography in all such patients in whom AVR is a consideration.",
author = "Vieweg, {W. V R} and Tretheway, {D. G.} and Alpert, {Joseph S} and Hagan, {A. D.}",
year = "1976",
language = "English (US)",
volume = "17",
pages = "9--12",
journal = "Journal of Cardiovascular Surgery",
issn = "0021-9509",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "1",

}

TY - JOUR

T1 - Distribution of coronary artery disease in patients with isolated aortic valve disease

AU - Vieweg, W. V R

AU - Tretheway, D. G.

AU - Alpert, Joseph S

AU - Hagan, A. D.

PY - 1976

Y1 - 1976

N2 - 44 adult patients with isolated aortic valve disease underwent coronary arteriography. 70% of patients required aortic valve replacement (AVR). Of 28 men who underwent AVR, 59% of those with severe aortic stenosis, 33% of those with severe aortic regurgitation and 50% of those with mixed aortic stenosis/aortic regurgitation had associated coronary artery disease. 36% of men with aortic valve disease not requiring AVR had significant coronary artery disease (CAD). CAD was not found in the 5 female patients studied. In the patients with CAD, the left anterior descending artery was involved 84% of the time. Next in frequency were the right coronary artery, the proximal left circumflex artery, and the obtuse marginal artery. Multivessel disease was the rule. All but one patient with significant CAD had angina pectoris, but many patients with angina had normal coronary arteries. The frequent occurrence of significant CAD in adult male patients with isolated aortic valve disease argues for the performance of selective coronary arteriography in all such patients in whom AVR is a consideration.

AB - 44 adult patients with isolated aortic valve disease underwent coronary arteriography. 70% of patients required aortic valve replacement (AVR). Of 28 men who underwent AVR, 59% of those with severe aortic stenosis, 33% of those with severe aortic regurgitation and 50% of those with mixed aortic stenosis/aortic regurgitation had associated coronary artery disease. 36% of men with aortic valve disease not requiring AVR had significant coronary artery disease (CAD). CAD was not found in the 5 female patients studied. In the patients with CAD, the left anterior descending artery was involved 84% of the time. Next in frequency were the right coronary artery, the proximal left circumflex artery, and the obtuse marginal artery. Multivessel disease was the rule. All but one patient with significant CAD had angina pectoris, but many patients with angina had normal coronary arteries. The frequent occurrence of significant CAD in adult male patients with isolated aortic valve disease argues for the performance of selective coronary arteriography in all such patients in whom AVR is a consideration.

UR - http://www.scopus.com/inward/record.url?scp=0017288544&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0017288544&partnerID=8YFLogxK

M3 - Article

C2 - 1081988

AN - SCOPUS:0017288544

VL - 17

SP - 9

EP - 12

JO - Journal of Cardiovascular Surgery

JF - Journal of Cardiovascular Surgery

SN - 0021-9509

IS - 1

ER -