Review of Coronary Artery Disease in Patients With Infrarenal Abdominal Aortic Aneurysm.
Open accessAbstract
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.
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They were unable to obtain any results showing that AAA is a risk factor of ASCVD.
“However, they were unable to obtain any results showing that AAA is a risk factor of ASCVD.”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [198]
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- Authors
- Kioka, Y., Tanabe, A., Kotani, Y., Yamada, N., Nakahama, M., Ueda, T., Seitou, T., & Maruyama, M.
- Affiliations
- Departments of Cardiovascular Surgery
- Fukuyama City Hospital (JP)
- ORCID
- Kotani, Yasuhiro
- Venue
- Circulation Journal
- Publisher
- Japanese Circulation Society
- Published
- 2002
- Volume
- 66
- Issue
- 12
- Pages
- 1110-1112
- ISSN
- 1346-9843 (ISSN-L)
- 1347-4820
- OpenAlex
- W2091487970
- Cited by
- 27
- References
- 16
- Citations by year
- 2023: 2 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic aneurysm repair treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Disease and Treatment Approaches
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Keywords
- coronary artery disease, infrarenal aortic aneurysm, silent myocardial ischemia, preoperative coronary angiography, percutaneous transluminal coronary angioplasty, coronary artery bypass grafting, postoperative cardiac events, survival outcomes
- MeSH terms
- Aged, Coronary Artery Bypass, Cause of Death, Coronary Disease, Female, Humans, Male, Middle Aged, Renal Circulation, Angioplasty, Balloon, Coronary, Aortic Aneurysm, Abdominal
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