Coronary artery disease in patients with aortic aneurysm: a classification of 302 coronary angiograms and results of surgical management.

Abstract:

:In an attempt to reduce early and late mortality caused by myocardial infarction in patients with aortic aneurysms, coronary arteriography and, when indicated, myocardial revascularization were performed prior to elective aortic reconstruction in 302 patients with infrarenal (289) or thoracoabdominal (13) aortic aneurysms. Severe correctable coronary artery disease (CAD) was identified in 31% of the entire series, whereas severe inoperable CAD was seen in another 5%. Severe, correctable CAD was documented in 42% of patients suspected to have CAD by standard clinical criteria and in 19% of those in whom CAD was not suspected. The overall mortality for 89 cardiac and 227 infrarenal aortic surgical procedures was 4,4%. Fatal complications after infrarenal aneurysm resection occurred in only one (1.6%) of 61 patients who had had preliminary myocardial revascularization.

journal_name

Ann Vasc Surg

authors

Young JR,Hertzer NR,Beven EG,Ruschhaupt WF 3rd,Graor RA,O'Hara PJ,De Wolfe VG,Kramer JR,Simpfendorfer CC

doi

10.1016/S0890-5096(06)60700-0

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

36-42

issue

1

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)60700-0

journal_volume

1

pub_type

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