Coronary artery bypass surgery in patients with valvular disease



==ACCF/AHA Guidelines for CABG in Patients with Valvular Disease == {{cquote|

Class I
1. Patients undergoing CABG who have at least moderate aortic stenosis should have concomitant aortic valve replacement. (Level of Evidence: B)

2. Patients undergoing CABG who have severe ischemic mitral valve regurgitation not likely to resolve with revascularization should have concomitant mitral valve repair or replacement at the time of CABG. (Level of Evidence: B)

Class IIa
1. In patients undergoing CABG who have moderate ischemic mitral valve regurgitation not likely to resolve with revascularization, concomitant mitral valve repair or replacement at the time of CABG is reasonable. (Level of Evidence: B)

Class IIb
1. Patients undergoing CABG who have mild aortic stenosis may be considered for concomitant aortic valve replacement when evidence (eg, moderate–severe leaflet calcification) suggests that progression of the aortic stenosis may be rapid and the risk of the combined procedure is acceptable. (Level of Evidence: C)}}

Guidelines Resources

 * 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines