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本文报告２６７例，２７０次心脏瓣膜病换瓣术前冠状动脉造影结果。患者中男性１８１，女性８６例，平均年龄５４．４岁。１５．４％的患者合并５０％以上的冠状动脉狭窄，９．７％的患者换瓣同时需行搭桥手术或因冠状动脉病变太重不宜手术治疗。本组冠状动脉狭窄的发生率随年龄而增加，男性多于女性。分析表明，瓣膜病患者的胸疼多因主动脉瓣病变（尤其是狭窄）引起，不能反映患者有无冠状动脉病变。术前常规冠状动脉造影对提高手术成功率甚为重要，５０岁以上的国人患者都应进行这一检查。笔者还讨论了瓣膜病患者冠状动脉造影的操作特点，左室造影所见和左房血栓征象的临床意义。
This article reports 267 cases, 270 heart valve disease valve preoperative coronary angiography results. 181 males and 86 females with an average age of 54.4 years. 15.4% of patients with more than 50% of coronary artery stenosis, 9.7% of patients also need surgery for bypass surgery or due to coronary artery disease is too heavy should not be surgically treated. The incidence of coronary stenosis in this group increases with age, more men than women. Analysis showed that patients with valvular heart disease and chest pain mostly due to aortic valve disease (especially stenosis) can not reflect the patient with or without coronary artery disease. Preoperative routine coronary angiography to improve the success rate of surgery is very important, more than 50 years of age in patients with this test should be carried out. The author also discusses the operating characteristics of patients with valvular coronary artery angiography, left ventricular angiography and left atrial thrombus signs of clinical significance.