Combined coronary artery bypass grafting and abdominal aortic aneurysm repair

Background: We report here the results of combined coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) repair and the factors associated with higher mortality following this procedure. Methods: The authors performed a retrospective chart review of 26 patients who underwent com...

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Veröffentlicht in:	The American journal of surgery 1998-08, Vol.176 (2), p.144-146
Hauptverfasser:	Gade, Prasad V, Ascher, Enrico, Cunningham, Joseph N, Kallakuri, Sreedhar, Scheinman, Marcel, Scherer, Hannah, Robertazzi, Robert, Hingorani, Anil
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Age composition Aged Aged, 80 and over Aorta Aortic Aneurysm, Abdominal - mortality Aortic Aneurysm, Abdominal - surgery Aortic aneurysms Asymptomatic Biological and medical sciences Blood Bypass Cardiopulmonary Bypass Cardiovascular disease Chronic obstructive pulmonary disease Comparative analysis Complications Coronary artery Coronary Artery Bypass - mortality Coronary vessels Data Interpretation, Statistical Diabetes Diabetes mellitus Ejection fraction Female Grafting Heart surgery Humans Hypertension Male Medical sciences Middle Aged Morbidity Mortality Myocardial infarction Patients Postoperative Complications Respiratory failure Respiratory Insufficiency - etiology Retrospective Studies Risk Factors Stroke Volume Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Time Factors Vein & artery diseases
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Zusammenfassung:	Background: We report here the results of combined coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) repair and the factors associated with higher mortality following this procedure. Methods: The authors performed a retrospective chart review of 26 patients who underwent combined CABG and AAA repair between March 1990 and October 1996. Results: No postoperative myocardial infarction or major cardiac complications were noted. A morbidity rate of 38% (n = 10) and mortality rate of 11% (n = 3) were noted. Comparative analysis of nonsurvivors (n = 3) versus survivors (n = 23) revealed the following: ejection fraction (EF) was significantly lower (33% ± 3% versus 44% ± 14%, P
ISSN:	0002-9610 1879-1883
DOI:	10.1016/S0002-9610(98)00164-0