[Selective indications of cardiac studies before aortic surgery].
OBJECTIVE
There is no consensus on heart explorations required before infra-renal reconstruction surgery of the aorta. We proposed a selective approach in 81 consecutive patients undergoing elective surgery.


METHODS
Four clinical criteria were recorded: age over 70 years, diabetes mellitus and a clinical history of coronary artery disease or heart failure.


RESULTS
For 23 patients (group 1), none of the criteria were positive. Surgery was performed in all without prior exploration. There was one death (4.8%) and one post-operative cardiac event (4.8%) in this group. The 58 other patients (group 2) had at least one of the criteria and had complementary heart explorations before surgery. There were 2 deaths (3.4%) and 5 cases of cardiac morbidity (8.6%) in this group.


CONCLUSIONS
The lack of any statistical difference between the two groups with and without risk criteria has led us to propose selective indications for preoperative explorations based on specific clinical criteria.
Service de Chirurgie vasculaire, Hôpital Nord, Marseille.
Y S
YS
Alimi
F
F
Paganelli
C
C
Doddoli
S
S
De Moro
P
P
Barthèlemy
C
C
Juhan
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery; D001018:Aortic Diseases / Q000401:mortality / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000175:diagnosis*; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012307:Risk Factors
Indications sélectives des explorations cardiaques avant chirurgie aortique.