ObjectiveTo analyze the results and experiences of cardiac valve surgery combined with coronary artery bypass grafting (CABG) in different age groups. MethodsThe clinical data of 80 patients，who received cardiac valve surgery combined with CABG，were divided into ≥60 years group(44 cases) and ＜60 years group( 36 cases), according to their ages. All the operations were performed under general anesthesia and cardiopulmonary bypass (CPB), including mitral valve replacement (MVR) in 42 cases, aortic valve replacement (AVR) in 23 cases and dual valve replacement (DVR) in 15 cases. The mean grafts number was (1.5±0.6) branches. Among the CABG, 38, 27 and 15 cases were transplanted with 1, 2, and multiple grafts respectively. A total of 127 bypass grafts were grafted. ResultsThere were no significant differences in the duration of postoperative ventilator-assisted ventilation, CSICU monitoring time, hospitalization time, perioperative complications and mortality between the two groups (P＞0.05). 79 patients were followed up, 5 patients lost, 1 patient died of severe Low Cardiac Output Syndrome (LCOS) after 3 months, 1 patient suffered from para-valvular leakage (PVL) operated the second valve replacement in 1 year later, 2 patients had cerebro-vascular accident. The remaining patients improved the quality of life significantly, 56 patients were in NYHA class Ⅰ, 14 patients were in NYHA class II. ConclusionCardiac valve surgery combined with CABG is an effective method in the treatment of heart valvular disease with coronary heart disease, which can make the elderly patients obtain satisfactory therapeutic effect.

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