Reduction of the risk of surgery for abdominal aortic aneurysms by extended coronary diagnostics and therapy.
The morbidity and mortality in the surgery of abdominal aortic aneurysms are essentially determined by the coronary risk profile of the patient. Preoperative coronary artery diagnostics with the potential consequence of a coronary revascularization as procedure before the aneurysmectomy seems to be mandatory to decrease the risk of treatment. Out of 223 patients treated at our institution for abdominal aortic aneurysm, 68 (30.5%) had to undergo extended cardiological diagnostic procedures, and 37 (16.6%) needed a coronary angiography; in 23 patients (10.3%) myocardial revascularization was performed prior to the aneurysmectomy. Since routinely performing this thorough investigation of the coronary risks, the mortality of surgery for aortic aneurysm has been clearly reduced.
Fraedrich
G
G
Department of Cardiac and Vascular Surgery, University of Freiburg, Germany.
Wollschläger
H
H
Schönbach
B
B
Schlosser
V
V
D015906:Angioplasty, Balloon, Coronary; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D004452:Echocardiography; D004562:Electrocardiography; D005080:Exercise Test; D006801:Humans; D012307:Risk Factors