title: [Identification and treatment of coronary atherosclerosis, before resection of abdominal aortic aneurysm].
abstract: Atherosclerotic aortic aneurysm, is frequently associated to coronary atherosclerosis. When myocardial ischemia is asymptomatic, aortic surgery commonly is deferred because unexpected ischemic cardiopathy. To diminish the risk of aortic surgery, aortocoronary bypass must be installed before the aortic graft. Percutaneous transluminal coronary angioplasty is an alternative treatment of coronary atherosclerosis, principally in elderly patients. We present the case of a male patient with an abdominal aortic aneurysm and myocardial silent ischemia secondary to right coronary artery stenosis treated by mean the percutaneous transluminal coronary angioplasty (PTCA) before aortic surgery, with the objective of decreasing surgical risk and its possible complications (myocardial infarction, cardiogenic shock, death, etc.). Nine months after the PTCA, the patient is asymptomatic and stress test on treadmill is negative.
authors.affiliation: Departamento de Angiología, Hospital de Especialidades, Centro MédicoLa Raza, IMSS, México, D.F.
authors.forename: R
authors.initials: R
authors.lastname: López Rodríguez
authors.forename: A
authors.initials: A
authors.lastname: Rangel
authors.forename: E
authors.initials: E
authors.lastname: Cruz
authors.forename: E
authors.initials: E
authors.lastname: Chávez
authors.forename: C
authors.initials: C
authors.lastname: Velasco
authors.forename: H
authors.initials: H
authors.lastname: Murillo
authors.forename: E
authors.initials: E
authors.lastname: Badui
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D003324:Coronary Artery Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D011300:Preoperative Care