Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: optimization of myocardial stress by controlled phlebotomy.
The repair of abdominal aortic aneurysm (AAA) in the presence of significant coronary artery disease (CAD) carries a high-risk of adverse peri-operative cardiac event. The options to reduce cardiac risk include perioperative beta-blockade, preoperative optimization by myocardial revascularization and simultaneous (combined) coronary artery bypass grafting and aneurysm repair. We describe intra-operative controlled phlebotomy to optimize myocardial stress during repair of infrarenal AAA in a patient with significant stable CAD.
Neema
Praveen Kumar
PK
Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. praveenneema@yahoo.co.in
Vijayakumar
Arun
A
Manikandan
S
S
Rathod
Ramesh Chandra
RC
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000368:Aged; D000768:Anesthesia, General; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D001262:Atenolol / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D009202:Cardiomyopathies / Q000517:prevention & control*; D003324:Coronary Artery Disease / Q000150:complications*; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization; D018962:Phlebotomy
D000319:Adrenergic beta-Antagonists; D001262:Atenolol