Abstract
Cardiac surgeons are increasingly faced with patients who need surgery on the mitral or aortic valve after suffering
a coronary artery bypass grafting (CABG). Many of the problems of repeated surgical interventions
remains to this day unsolved. Surgical intervention conducted in this group of patients was determined by
many experts highly risky (difficulties arise when resternotomies, long cardiolysis, more likely to damage the
working shunt, connect IR so as not to provoke iatrogenic heart disease). In turn, the presence of coronary
artery disease and valvular leads to heavy flow and increased mortality. Widespread CABG surgery in the
treatment of coronary heart disease among the population of developed countries stipulates high frequency
of occurrence of patients requiring correction of the defect of the mitral and aortic valves.
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