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 language | English |
|---|---|
| Pages (from-to) | 1110-1112 |
| Number of pages | 3 |
| Journal | Circulation Journal |
| Volume | 66 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - Dec 1 2002 |
| Externally published | Yes |
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Keywords
- Abdominal aortic aneurysm
- Coronary artery disease
- Diagnostic imaging technology
- Minimally invasive procedures
ASJC Scopus subject areas
- Physiology
- Cardiology and Cardiovascular Medicine
Cite this
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 journal › Article
}
TY - JOUR
T1 - Review of coronary artery disease in patients with infrarenal abdominal aortic aneurysm
AU - Kioka, Yukio
AU - Tanabe, Atsusi
AU - Kotani, Yasuhiro
AU - Yamada, Nobuyuki
AU - Nakahama, Makoto
AU - Ueda, Toshiyuki
AU - Seitou, Tetsusi
AU - Maruyama, Masahiko
PY - 2002/12/1
Y1 - 2002/12/1
N2 - 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.
AB - 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.
KW - Abdominal aortic aneurysm
KW - Coronary artery disease
KW - Diagnostic imaging technology
KW - Minimally invasive procedures
UR - http://www.scopus.com/inward/record.url?scp=0036896758&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036896758&partnerID=8YFLogxK
U2 - 10.1253/circj.66.1110
DO - 10.1253/circj.66.1110
M3 - Article
C2 - 12499615
AN - SCOPUS:0036896758
VL - 66
SP - 1110
EP - 1112
JO - Circulation Journal
JF - Circulation Journal
SN - 1346-9843
IS - 12
ER -