Combined Coronary Artery Bypass Grafting and Open Abdominal Aortic Aneurysm Repair Is a Reasonable Treatment Approach

Σπανός, Κωνσταντίνος; Saleptsis, Vasileios; Karathanos, Christos; Ρούσας, Νικόλαος; Athanasoulas, Athanasios; Giannoukas, Athanasios D.

doi:10.1177/0003319713504819

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…In fact, although endovascular AAA repair is preferred over open repair procedures, a combined 1-stage coronary artery bypass grafting and AAA open repair procedures can be performed with acceptable mortality and morbidity. 22 Asymptomatic CeVD in Patients With AAA…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Asymptomatic Coronary and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm

et al. 2014

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We evaluated the prevalence and severity of occult coronary artery disease (CAD) and cerebrovascular disease (CeVD) in patients with abdominal aortic aneurysm (AAA). We studied 100 consecutive patients with no history of CAD, normal electrocardiogram, normal systolic function, and no angina or dyspnea. All patients underwent carotid Doppler study and invasive coronary angiography. Significant CAD was observed in 61% of patients. In all, 51% of patients with significant CAD showed either left main (n = 7), 3-vessel (n = 17), or proximal left anterior descending (n = 7) CAD, corresponding to 31% of the total cohort. Cerebrovascular disease was detected in 53% of patients, and in 38% of them was significant (peak systolic flow velocity ≥125 <230 cm/s). In 36% of patients with CeVD either left main (n = 5), 3-vessel (n = 11), or proximal left anterior descending (n = 3) CAD was observed. Severe asymptomatic CAD is prevalent in AAA, and 31% of patients fulfill indications for coronary revascularization.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Asymptomatic Coronary and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm

et al. 2014

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“…[ 1 , 2 ] The prevalence of CAD in patients with AAA has been estimated to be as high as 50%. [ 3 ] The risks of perioperative mortality, myocardial ischemia, and adverse long-term outcomes are significantly increased in patients undergoing AAA repair with comorbid CAD. [ 4 ] In patients with severe CAD and peripheral vascular disease, the usual treatment is first myocardial revascularization or percutaneous coronary intervention followed by AAA repair (staging surgery).…”

Section: Discussionmentioning

confidence: 99%

The anesthetic management of a patient undergoing simultaneous open abdominal aortic aneurysm repair and coronary artery bypass grafting: A case report

Wang

Dong

et al. 2022

Medicine

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Rationale: Surgery for abdominal aortic aneurysm (AAA) and concomitant severe coronary artery disease (CAD) is usually managed in a staged procedure. The anesthesia for concurrent surgery is rare and complex. In this report, we present an unusual case of undergoing simultaneous open abdominal aortic aneurysm (AAA) repair and coronary artery bypass grafting (CABG). Patient concerns: A 70-year-old male AAA patient with concurrent triple-vessel CAD underwent a simultaneous surgery. Diagnosis: The patient underwent computed tomography angiography (CTA) and coronary angiography. He was diagnosed with AAA and triple-vessel CAD. Interventions: The patient underwent simultaneous surgery. Outcomes: The patient underwent anesthesia and surgery smoothly and was discharged on the 13th postoperative day. Lessons: The anesthetic management of simultaneous open abdominal aortic aneurysm repair and coronary artery bypass grafting is rare and complicated. Reasonable operation and anesthesia protocols, close monitoring and management of hemodynamic changes, and appropriate cell salvage and hemostasis measures are of great significance to increase perioperative safety and reduce the risk of postoperative complications.

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“…4 It was reported that combined CABG and AAA repair had a 30-day mortality of approximately 7.8%. 31 PCI with EVAR was considered a less-invasive procedure that could have a lower mortality. 9 The rupture risk of aneurysms increased with increasing of aneurysm diameter.…”

Section: Discussionmentioning

confidence: 99%

Fast-Track Management of Concurrent Percutaneous Coronary Intervention in Patients Scheduled for Endovascular Abdominal Aortic Aneurysm Repair

et al. 2022

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Purpose: To investigate the safety and efficacy of fast-track management of concurrent percutaneous coronary intervention (PCI) in patients with abdominal aortic aneurysm scheduled for endovascular aortic aneurysm repair (EVAR). Materials and Methods: Eligible patients with abdominal aortic aneurysm who received EVAR from January 2011 to December 2019 were included in this retrospective cohort study. Propensity score (PS)–matched analysis was used to balance the baseline between the fast-track and standard control (EVAR without significant coronary artery disease) groups. Effects of fast-track management on short-term and midterm outcomes were evaluated via Cox proportional hazard regression and logistic regression analyses with corresponding hazard ratio (HR) or odds ratio (OR) and associated 95% confidence intervals (95% CIs), respectively. Results: The study included 669 patients (73 fast-track and 596 standard control). Compared with the standard control group, no significant difference was found regarding major adverse cardiac events (HR 0.78, 95% CI [0.36, 1.68], p=0.519), overall mortality (HR 0.63, 95% CI [0.25, 1.55], p=0.315), and 30-day major hemorrhage events (OR 1.01, 95% CI [0.99, 1.03], p=0.514). The results were consistent in the PS-matched cohorts regarding major adverse cardiac events (HR 0.57, 95% CI [0.25, 1.29], p=0.176), overall mortality (HR 0.43, 95% CI [0.17, 1.11], p=0.820), and 30-day major hemorrhage events (OR 1.00, 95% CI [0.05, 10.61], p=0.999). Similar results were found in the subgroup analyses concerning fast-track management of 2-week intervals and patients with high age-adjusted Charlson comorbidity index. Conclusions: Under appropriate perioperative care, shortening the time interval between PCI and EVAR to 1 month, or even 2 weeks, seemed to be safe and effective. Short-term and midterm cardiovascular and survival outcomes were comparable with patients who underwent standard EVAR without significant coronary artery disease.

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Combined Coronary Artery Bypass Grafting and Open Abdominal Aortic Aneurysm Repair Is a Reasonable Treatment Approach

Cited by 5 publications

References 26 publications

Prevalence and Severity of Asymptomatic Coronary and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm

Prevalence and Severity of Asymptomatic Coronary and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm

The anesthetic management of a patient undergoing simultaneous open abdominal aortic aneurysm repair and coronary artery bypass grafting: A case report

Fast-Track Management of Concurrent Percutaneous Coronary Intervention in Patients Scheduled for Endovascular Abdominal Aortic Aneurysm Repair

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