[Value of myocardial revascularisation surgery before correction of sub-renal aortic aneurysms].
The value of aortocoronary bypass (ACB) before surgical correction of infrarenal abdominal aortic aneurysm (AAA) was studied in three groups of patients. Group I: 6 patients undergoing both procedures; group II: 14 coronary patients operated for AAA without prior ACB surgery; group III: 16 patients without coronary artery disease operated for AAA. The hospital mortality was nil in group I; 2 patients died of myocardial infarction in group II; 2 patients died of infection and of cerebrovascular accident respectively, in group III. The patients in group I were asymptomatic on follow-up (mean = 29.7 months) whilst 1 patient in group II developed angina. The essential problem associated with this type of patient remains the complexity of the diagnostic investigations which must include coronary and cervical arteriography. Although the indications for ACB before cure of AAA are obvious in symptomatic patients and/or with previous myocardial infarction, they remain debatable in other patients.
D000787:Angina Pectoris / Q000209:etiology; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000209:etiology; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D011183:Postoperative Complications
Intérêt de la chirurgie de revascularisation myocardique préalable à la cure des anévrysmes de l'aorte sous-rénale.