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Br Heart J. 1984 February; 51(2): 121–124.
PMCID: PMC481471

Prevalence of coronary artery disease in patients with isolated aortic valve stenosis.

Abstract

The prevalence of significant coronary artery disease (reduction in luminal diameter by more than 50%) among 88 consecutive patients with aortic stenosis requiring aortic valve replacement at Hammersmith Hospital was examined. Twenty two (34%) patients had significant coronary disease. Nineteen of 42 (45%) patients with typical angina had coronary disease; three of 20 (15%) patients with atypical chest pain had coronary disease, while none of 26 patients free of chest pain had significant coronary disease. Risk factors for coronary disease were equally distributed among patients with and without significant luminal obstruction. Because of the small, but definite, hazard of coronary arteriography and in the interest of cost containment it is suggested that patients with aortic stenosis who are free of chest pain do not require routine coronary arteriography. This applies particularly to patients requiring urgent aortic valve replacement.

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Selected References

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  • Lesage CH, Jr, Vogel JH, Blount SG., Jr Iatrogenic coronary occlusive disease in patients with prosthetic heart valves. Am J Cardiol. 1970 Aug;26(2):123–129. [PubMed]
  • Coleman EH, Soloff LA. Incidence of significant coronary artery disease in rheumatic valvular heart disease. Am J Cardiol. 1970 Apr;25(4):401–404. [PubMed]
  • Flemma RJ, Johnson WD, Lepley D, Jr, Auer JE, Tector AJ, Blitz J. Simultaneous valve replacement and aorta-to-coronary saphenous vein bypass. Ann Thorac Surg. 1971 Aug;12(2):163–170. [PubMed]
  • Flemma RJ, Johnson WD, Lepley D, Jr, Auer JE, Tector AJ, Blitz J. Simultaneous valve replacement and aorta-to-coronary saphenous vein bypass. Ann Thorac Surg. 1971 Aug;12(2):163–170. [PubMed]
  • Linhart JW, De la Torre A, Ramsey HW, Wheat MW., Jr The significance of coronary artery disease in aortic valve replacement. J Thorac Cardiovasc Surg. 1968 Jun;55(6):811–819. [PubMed]
  • Peterson CR, Herr R, Crisera RV, Starr A, Bristow JD, Griswold HE. The failure of hemodynamic improvement after valve replacement surgery. Etiology, diagnosis, and treatment. Ann Intern Med. 1967 Jan;66(1):1–24. [PubMed]
  • Anderson RP, Bonchek LI, Wood JA, Chapman RP, Starr A. The safety of combined aortic valve replacement and coronary bypass grafting. Ann Thorac Surg. 1973 Mar;15(3):249–255. [PubMed]
  • Berndt TB, Hancock EW, Shumway NE, Harrison DC. Aortic valve replacement with and without coronary artery bypass surgery. Circulation. 1974 Nov;50(5):967–971. [PubMed]
  • Rossiter SJ, Hultgren HN, Kosek JC, Wuerflein RD, Angell WW. Ischemic myocardial injury with aortic valve replacement and coronary bypass. Arch Surg. 1974 Nov;109(5):652–658. [PubMed]
  • Assad-Morell JL, Connolly DC, Brandenburg RO, Giuliani ER, Schattenberg TT, Pluth JR, Barnhorst DA, Wallace RB, Danielson GK. Aorta-coronary artery saphenous vein bypass grafts. Isolated and combined with other procedures. J Thorac Cardiovasc Surg. 1975 Jun;69(6):841–850. [PubMed]
  • Macmanus Q, Grunkemeier G, Lambert L, Dietl C, Starr A. Aortic valve replacement and aorta-coronary bypass surgery. Results with perfusion of proximal and distal coronary arteries. J Thorac Cardiovasc Surg. 1978 Jun;75(6):865–869. [PubMed]
  • Richardson JV, Kouchoukos NT, Wright JO, 3rd, Karp RB. Combined aortic valve replacement and myocardial revascularization: results in 220 patients. Circulation. 1979 Jan;59(1):75–81. [PubMed]
  • Green GS, McKinnon CM, Rösch J, Judkins MP. Complications of selective percutaneous transfemoral coronary arteriography and their prevention. A review of 445 consecutive examinations. Circulation. 1972 Mar;45(3):552–557. [PubMed]
  • Adams DF, Fraser DB, Abrams HL. The complications of coronary arteriography. Circulation. 1973 Sep;48(3):609–618. [PubMed]
  • Judkins MP. Percutaneous transfemoral selective coronary arteriography. Radiol Clin North Am. 1968 Dec;6(3):467–492. [PubMed]
  • LEWES D. Diagnosis of aortic stenosis based on a study of 25 proved cases. Br Med J. 1951 Feb 3;1(4700):211–216. [PMC free article] [PubMed]
  • WOOD P. Aortic stenosis. Am J Cardiol. 1958 May;1(5):553–571. [PubMed]
  • BAKER C, SOMERVILLE J. Clinical features and surgical treatment of fifty patients with severe aortic stenosis. Guys Hosp Rep. 1959;108:101–125. [PubMed]
  • Nakib A, Lillehei CW, Edwards JE. The degree of coronary atherosclerosis in aortic valvular disease. Arch Pathol. 1965 Nov;80(5):517–520. [PubMed]
  • Parker DJ, Jacob T, Seabra-Gomes RS. Proceedings: Importance of coronary artery disease in surgery of aortic valve disease. Br Heart J. 1974 Oct;36(10):1039–1039. [PubMed]
  • Basta LL, Raines D, Najjar S, Kioschos JM. Clinical, haemodynamic, and coronary angiographic correlates of angina pectoris in patients with severe aortic valve disease. Br Heart J. 1975 Feb;37(2):150–157. [PMC free article] [PubMed]
  • Harris CN, Kaplan MA, Parker DP, Dunne EF, Cowell HS, Ellestad MH. Aortic stenosis, angina, and coronary artery disease. Interrelations. Br Heart J. 1975 Jun;37(6):656–661. [PMC free article] [PubMed]
  • Mandal AB, Gray IR. Significance of angina pectoris in aortic valve stenosis. Br Heart J. 1976 Aug;38(8):811–815. [PMC free article] [PubMed]
  • Paquay PA, Anderson G, Diefenthal H, Nordstrom L, Richman HG, Gobel FL. Chest pain as a predictor of coronary artery disease in patients with obstructive aortic valve disease. Am J Cardiol. 1976 Dec;38(7):863–869. [PubMed]
  • Paquay PA, Anderson G, Diefenthal H, Nordstrom L, Richman HG, Gobel FL. Chest pain as a predictor of coronary artery disease in patients with obstructive aortic valve disease. Am J Cardiol. 1976 Dec;38(7):863–869. [PubMed]
  • Graboys TB, Cohn PF. The prevalence of angina pectoris and abnormal coronary arteriograms in severe aortic valvular disease. Am Heart J. 1977 Jun;93(6):683–686. [PubMed]
  • Storstein O, Enge I. Angina pectoris in aortic valvular disease and its relation to coronary pathology. Acta Med Scand. 1979;205(4):275–278. [PubMed]
  • Ramsdale DR, Faragher EB, Bennett DH, Bray CL, Ward C, Beton DC. Preoperative prediction of significant coronary artery disease in patients with valvular heart disease. Br Med J (Clin Res Ed) 1982 Jan 23;284(6311):223–226. [PMC free article] [PubMed]
  • Lacy J, Goodin R, McMartin D, Masden R, Flowers N. Coronary atherosclerosis in valvular heart disease. Ann Thorac Surg. 1977 May;23(5):429–435. [PubMed]
  • Oury JH, Quint RA, Angell WW, Wuerflein RD. Coronary artery vein bypass grafts in patients requiring valve replacement. Surgery. 1972 Dec;72(6):1037–1047. [PubMed]
  • Bonchek LI, Anderson RP, Rösch J. Should coronary arteriography be performed routinely before valve replacement? Am J Cardiol. 1973 Apr;31(4):462–466. [PubMed]
  • Hutchinson JE, 3rd, Green GE, Mekhjian HA, Kemp HG. Aortic valve replacement combined with coronary bypass grafts. Long-term results. N Y State J Med. 1973 Jun 1;73(11):1299–1301. [PubMed]
  • Copeland JG, Griepp RB, Stinson EB, Shumway NE. Long-term follow-up after isolated aortic valve replacement. J Thorac Cardiovasc Surg. 1977 Dec;74(6):875–889. [PubMed]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group