[Coronary assessment and surgery for aortic aneurysm: systematic coronarography].
Epidemiologic studies have shown that patients with peripheral vascular disease have a high risk of coronary heart disease. The vascular surgeon must therefore search for latent lesions which might lead to decompensation during or after the surgical procedure. Coronarography can be proposed in symptomatic patients or those with a past history of coronary heart disease, but such an indication is questionable for asymptomatic patients. Non-invasive exploration could theoretically provide information of the coronary risk but are not always possible or reliable in patients with peripheral vascular disease. A practical attitude can be established by analyzing the lesions on the basis of large international series. Cardiac exploration evaluating ischaemia can be proposed after the initial work-up to establish management strategy for intermediary cases.
Fabiani
J N
JN
Service de Chirurgie Vasculaire et Thoracique, Hôpital Broussais, PARIS.
D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001161:Arteriosclerosis / Q000150:complications / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging*; D005069:Evaluation Studies as Topic; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D012307:Risk Factors
Bilan coronarien et chirurgie pour anévrysme aortique: coronarographie systématique.