Document Detail


The role of preoperative radionuclide ejection fraction in direct abdominal aortic aneurysm repair.
MedLine Citation:
PMID:  3294449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preoperative radionuclide ventriculography was performed in 60 patients to assess whether such testing could define those at increased risk after direct abdominal aortic aneurysm (AAA) repair. None of the patients had prophylactic coronary artery reconstruction to reduce the risk of AAA repair despite angina in 27% and previous myocardial infarction (MI) in 42%. The mean ejection fraction (EF) was 52% +/- 15% (range 14% to 78%). Low EF (normal greater than 50%) was present in 40%, whereas ventricular wall motion abnormalities were present in 39% of patients. The overall perioperative (30-day) mortality rate was 5%. MI occurred in 7% within 30 postoperative days; none was fatal. Life-table analysis revealed that overall survival after AAA repair was significantly lower in patients with an EF of 50% or less (p less than 0.025, Mantel-Cox) during a follow-up of 20.1 +/- 11.9 months. Overall survival differences were even more striking for those with an EF of 35% or less (p = 0.003, Mantel-Cox). There was a marked difference in the cumulative mortality rate during follow-up, being 50% in those patients with an EF of 35% or less (n = 10) compared with 14% in those with an EF greater than 35% (n = 50, p = 0.036, Fisher exact test). There was no statistical difference in the incidence of perioperative MI or perioperative death for those with an EF of 35% or less vs EF greater than 35%.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
A Kazmers; M D Cerqueira; R E Zierler
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  8     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-09-08     Completed Date:  1988-09-08     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  128-36     Citation Subset:  IM    
Affiliation:
Department of Surgery, Seattle Veterans Administration Medical Center, WA 98108.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aorta, Abdominal / surgery
Aortic Aneurysm / mortality,  physiopathology*,  surgery
Humans
Male
Middle Aged
Prognosis
Radioisotope Dilution Technique
Risk Factors
Stroke Volume*

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


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