Review of Coronary Artery Disease in Patients With Infrarenal Abdominal Aortic Aneurysm

In the process of establishing a less invasive assessment strategy for coronary artery disease (CAD) in patients with infrarenal abdominal aortic aneurysm (AAA), the incidence of CAD and the surgical and mid-term outcomes were reviewed. From January 1994 through September 2001, 94 elective surgical...

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Bibliographic Details
Published in:Circulation Journal 2002, Vol.66(12), pp.1110-1112
Main Authors: Kioka, Yukio, Tanabe, Atsusi, Kotani, Yasuhiro, Yamada, Nobuyuki, Nakahama, Makoto, Ueda, Toshiyuki, Seitou, Tetsusi, Maruyama, Masahiko
Format: Article
Language:English
Subjects:
Abdominal aortic aneurysm
Aged
Angioplasty, Balloon, Coronary
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - mortality
Aortic Aneurysm, Abdominal - surgery
Biological and medical sciences
Cardiology. Vascular system
Cause of Death
Coronary Artery Bypass
Coronary artery disease
Coronary Disease - complications
Coronary Disease - mortality
Coronary Disease - therapy
Coronary heart disease
Diagnostic imaging technology
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Minimally invasive procedures
Renal Circulation
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Summary:In the process of establishing a less invasive assessment strategy for coronary artery disease (CAD) in patients with infrarenal abdominal aortic aneurysm (AAA), the incidence of CAD and the surgical and mid-term outcomes were reviewed. From January 1994 through September 2001, 94 elective surgical repairs of AAA were carried out. Preoperative coronary angiography showed 43 patients (45.7%) had CAD: 29 (67.4%) were asymptomatic, 23 had single-vessel disease (1VD), 12 had 2VD and 8 had 3VD. Of the 43 patients with CAD, 19 (44.2%) underwent coronary interventional therapy before aortic surgery (11 percutaneous transluminal coronary angioplasty (PTCA), 8 coronary artery bypass grafting). Eight asymptomatic patients underwent coronary interventional therapy. None of the patients died of cardiac causes or experienced a postoperative cardiac event. During the follow-up period, 10 late deaths occurred: 7 patients with CAD, and 3 cerebrovascular or cardiac deaths. There was no statistical difference in the survival rate between the groups with and without CAD. Two patients with CAD underwent PTCA during the follow-up period. The findings confirm the need for a less invasive assessment strategy of CAD that does not overlook asymptomatic myocardial ischemia, because the incidence of CAD in patients with AAA is high. (Circ J 2002; 66: 1110 - 1112)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.66.1110