Document Detail

The safety of combined cardiac and vascular operations: how much is too much?
MedLine Citation:
PMID:  10996099     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to identify factors correlating with a poor outcome following combined cardiac and vascular procedures. METHODS: We reviewed 45 consecutive patients undergoing combined cardiac and vascular operations. These included cardiac/CEA (n=27), cardiac/AAA (n=13), cardiac/AAA/one other vascular reconstruction (n=4), and cardiac/renal artery bypass (n=1). Group I included all patients with no morbidity or mortality (n=41) and Group II included patients who died or suffered significant morbidity (stroke, renal failure) (n=4). RESULTS: Overall mortality was 4.4% (2/45). These two patients underwent cardiac surgery combined with two additional vascular procedures (cardiac/AAA/other). In patients undergoing cardiac/CEA or cardiac/AAA, there were no deaths and one stroke (contralateral to CEA). Group II had significantly decreased ejection fraction (39%+/-6% vs 52%+/-1%) and an increased number of procedures (2.75 vs 2.04). CONCLUSIONS: Combined cardiac surgery and vascular reconstruction can be performed safely. However, multiple vascular reconstructions or the presence of decreased ejection fraction increased operative risk.
J J Gangemi; I L Kron; S D Ross; C G Tribble; J A Kern
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  8     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-14     Completed Date:  2000-11-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  452-6     Citation Subset:  IM    
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health Sciences Center, Charlottesville, VA 22908, USA.
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MeSH Terms
Aortic Aneurysm, Abdominal / surgery
Cardiac Surgical Procedures*
Combined Modality Therapy
Coronary Artery Bypass
Endarterectomy, Carotid
Heart Valve Prosthesis
Outcome Assessment (Health Care)*
Postoperative Complications* / mortality
Renal Artery Obstruction / surgery
Retrospective Studies
Risk Factors
Vascular Surgical Procedures*

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

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