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 journalShort survey

25 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

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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