Document Detail


Importance of cardiovascular interventions before surgery for abdominal aortic aneurysms.
MedLine Citation:
PMID:  10661699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preoperative screening, and interventional and surgical therapy of cardiovascular diseases are of pivotal importance for successful outcome after abdominal aortic aneurysm surgery. In a retrospective study, all patients who underwent surgery for abdominal aortic aneurysm were reevaluated by preoperative diagnostic and therapeutic interventions for cardiovascular disease. Two study periods (1980-1989 and 1990-1996) were compared. Of 603 patients operated upon for abdominal aortic aneurysm between 1980 and 1996, 449 had surgery on an elective basis and 154 as an emergency. Preoperative diagnostic studies for coronary artery disease were performed on elective patients and were positive in 76.8% (1980-1989, 76.1%, 1990-1996, 77.5%). Coronary angiography was performed in 108 patients (29.6%). Medical therapy of coronary artery disease declined by 2.3%, and interventional procedures by 18.8%. In contrast, myocardial revascularization with subsequent aneurysm resection increased by 26.6% and 12 patients (16%) required urgent simultaneous cardiac and aortic surgery. Early mortality after abdominal aortic aneurysm surgery decreased from 4.2 to 2.9%, and the frequency of primary cardiac failure as the cause of death was reduced from 33.3 to 22.2% (P < 0.05). It was concluded that 42.6% more cardiac surgical procedures were performed before abdominal aortic aneurysm surgery since 1990 compared with the period 1980-1989. In contrast, the number of interventional procedures fell by 18.8%. Surgical therapy of cardiac disease reduces early mortality after elective abdominal aortic aneurysm surgery.
Authors:
T Busch; H Sirbu; I Aleksic; M Friedrich; H Dalichau
Related Documents :
3897239 - Evaluation of non-invasive arteriography in the surgical treatment of abdominal aneurysms.
3298699 - The role of intravenous digital subtraction angiography as an adjunct to computed tomog...
3354279 - Management of inflammatory abdominal aortic aneurysm.
14723579 - Non-axisymmetrical (life-like) abdominal aortic aneurysm models: a do-it-yourself appro...
2223539 - Selective use of arteriography in the assessment of aortic aneurysm repair.
7915349 - Transfemoral endoluminal repair of abdominal aortic aneurysm with bifurcated graft.
6824409 - Surgical results of anomalous left coronary artery.
20208969 - Lesser saphenous vein aneurysm and popliteal vein aneurysm: report of two cases and rev...
21252209 - Reoperation for ascending aorta false aneurysm using deep hypothermia and circulatory a...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  8     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-03-01     Completed Date:  2000-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  18-21     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Georg-August-University, Göttingen, Germany. tbusch@gwdg.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Abdominal / complications*,  surgery*
Coronary Disease / complications*,  diagnosis,  therapy*
Female
Humans
Male
Perioperative Care
Postoperative Complications / prevention & control
Preoperative Care*
Retrospective Studies
Risk Assessment / statistics & numerical data
Vascular Surgical Procedures / adverse effects,  mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Comparative results of staged and simultaneous bilateral carotid endarterectomy: a clinical study an...
Next Document:  Coronary and major vascular disease: aggressive screening and priority-based therapy.