Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm

Yukio Kioka, Atsusi Tanabe, Yasuhiro Kotani, Nobuyuki Yamada, Makoto Nakahama, Toshiyuki Ueda, Tetsusi Seitou, Masahiko Maruyama

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1110-1112
Number of pages3
JournalCirculation Journal
Volume66
Issue number12
DOIs
Publication statusPublished - Dec 1 2002
Externally publishedYes

Fingerprint

Abdominal Aortic Aneurysm
Coronary Artery Disease
Coronary Balloon Angioplasty
Incidence
Coronary Angiography
Coronary Artery Bypass
Myocardial Ischemia
Survival Rate
Therapeutics

Keywords

  • Abdominal aortic aneurysm
  • Coronary artery disease
  • Diagnostic imaging technology
  • Minimally invasive procedures

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Kioka, Y., Tanabe, A., Kotani, Y., Yamada, N., Nakahama, M., Ueda, T., ... Maruyama, M. (2002). Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm. Circulation Journal, 66(12), 1110-1112. https://doi.org/10.1253/circj.66.1110

Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm. / Kioka, Yukio; Tanabe, Atsusi; Kotani, Yasuhiro; Yamada, Nobuyuki; Nakahama, Makoto; Ueda, Toshiyuki; Seitou, Tetsusi; Maruyama, Masahiko.

In: Circulation Journal, Vol. 66, No. 12, 01.12.2002, p. 1110-1112.

Research output: Contribution to journalArticle

Kioka, Y, Tanabe, A, Kotani, Y, Yamada, N, Nakahama, M, Ueda, T, Seitou, T & Maruyama, M 2002, 'Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm', Circulation Journal, vol. 66, no. 12, pp. 1110-1112. https://doi.org/10.1253/circj.66.1110
Kioka, Yukio ; Tanabe, Atsusi ; Kotani, Yasuhiro ; Yamada, Nobuyuki ; Nakahama, Makoto ; Ueda, Toshiyuki ; Seitou, Tetsusi ; Maruyama, Masahiko. / Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm. In: Circulation Journal. 2002 ; Vol. 66, No. 12. pp. 1110-1112.
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