Routine Coronary Angiography Prior to Elective Aortic Reconstruction: Title and subTitle BreakResults of Selective Myocardial Revascularization in Patients With Peripheral Vascular Disease FREE

Norman R. Hertzer, MD; Jess R. Young, MD; John R. Kramer, MD; Daniel F. Phillips, MD; Victor G. deWolfe, MD; William F. Ruschhaupt, III, MD; Edwin G. Beven, MD

[+] Author Affiliations

Accepted for publication July 23, 1979.

Presented at the 27th scientific meeting of the International Cardiovascular Society, Nashville, Tenn, June 29, 1979.

Reprint requests to Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Hertzer).

Arch Surg. 1979;114(11):1336-1344. doi:10.1001/archsurg.1979.01370350138018

Text Size: A A A

Published online

Article

References

Comments

ABSTRACT

ABSTRACT | REFERENCES

• Routine coronary angiography to determine the prevalence of severe coronary artery disease (CAD) has been recommended to all patients under consideration for elective peripheral vascular reconstruction at the Cleveland (Ohio) Clinic since April 1978. Those found to have severe, correctable CAD have been advised to undergo myocardial revascularization prior to performance of elective peripheral vascular operations. Forty-one of the 68 patients with abdominal aortic aneurysms (AAA) and 26 of the 71 patients with aortoiliac occlusive arterial disease (Al) had clinical evidence of CAD; coronary angiography demonstrated severe, correctable CAD in 23 patients with AAA and in 14 patients with Al. Twenty-seven patients with AAA and 45 patients with Al had no clinical evidence of CAD; severe, correctable CAD was found in six patients with AAA and in six patients with Al. Ninety-six patients, including 26 who had staged cardiac procedures performed, have had elective aortic reconstruction, with one operative death.

(Arch Surg 114:1336-1344, 1979)

REFERENCES

ABSTRACT | REFERENCES

DeBakey ME, Crawford ES, Cooley DA, et al: Aneurysm of the abdominal aorta: Analysis of results of graft replacement therapy one to 11 years after operation . Ann Surg 160:622-639, 1964;.

Hicks GL, Eastland MW, DeWeese JA, et al: Survival improvement following aortic aneurysm resection . Ann Surg 181:863-869, 1975;.

Thompson JE, Hollier LH, Patman RD, et al: Surgical management of abdominal aortic aneurysms: Factors influencing mortality and morbidity–a 20-year experience . Ann Surg 181:654-661, 1975;.

Young AE, Sandberg GW, Couch NP: The reduction of mortality of abdominal aortic aneurysm resection . Am J Surg 134:585-590, 1977;.

Szilagyi DE, Smith RG, DeRusso FJ, et al: Contribution of abdominal aortic aneurysmectomy to prolongation of life . Ann Surg 164:678-699, 1966;.

DeBakey ME, Crawford ES, Morris GC, et al: Late results of vascular surgery in the treatment of arteriosclerosis . J Cardiovasc Surg 5:473-480, 1964;.

Inahara T: Evaluation of endarterectomy for aortoiliac and aortoiliofemoral occlusive disease . Arch Surg 110:1458-1464, 1975;.

Malone JM, Moore WS, Goldstone J: Life expectancy following aortofemoral arterial grafting . Surgery 81:551-555, 1977;.

Pilcher DB, Barker WF, Cannon JA: An aortoiliac endarterectomy case series followed ten years or more . Surgery 67:5-17, 1970;.

Crawford ES, Morris GC Jr, Howell JF, et al: Operative risk in patients with previous coronary bypass . Ann Thorac Surg 26:215-221, 1978;.

Edwards WH, Mulherin JL, Walker WE: Vascular reconstructive surgery following myocardial revascularization . Ann Surg 187:653-657, 1978;.

McCollum CH, Garcia-Rinaldi R, Graham JM, et al: Myocardial revascularization prior to subsequent major surgery in patients with coronary artery disease . Surgery 81:302-304, 1977;.

Mahar LJ, Steen PA, Tinker JH, et al: Perioperative myocardial infarction in patients with coronary artery disease with and without aorta-coronary artery bypass grafts . J Thorac Cardiovasc Surg 76:533-537, 1978;.

Loop FD, Cosgrove DM, Lytle BW, et al: An 11-year evolution of coronary arterial surgery (1967-1978). Ann Surg, to be published.

Sones FM Jr: Complications of coronary arteriography and left heart catheterization . Cleve Clin Q 45:21-23, 1978;.

Sones FM Jr, Shirey EK: Cine coronary angiography . Mod Concepts Cardiovasc Dis 31:735-738, 1962;.

Szilagyi DE, Elliott JP, Smith RF: Clinical fate of the patient with asymptomatic abdominal aortic aneurysm and unfit for surgical treatment . Arch Surg 104:600-606, 1972;.

Cooperman M, Pflug B, Martin EW, et al: Cardiovascular risk factors in patients with peripheral vascular disease . Surgery 84:505-509, 1978;.

Baker WH, Munns JR: Aneurysmectomy in the aged . Arch Surg 110:513-517, 1975;.

Tomatis LA, Fierens EE, Verbrugge GP: Evaluation of surgical risk in peripheral vascular disease by coronary arteriography: A series of 100 cases . Surgery 71:429-435, 1972;.

Gage AA, Bhayana JN, Balu V, et al: Assessment of cardiac risk in surgical patients . Arch Surg 112:1488-1492, 1977;.

Fitzgibbon GM, Burggraf GW, Groves TD, et al: A double Master's two-step test: Clinical, angiographic and hemodynamic correlations . Ann Intern Med 74:509-517, 1971;.

Proudfit WL, Brushke AV, Sones FM Jr: Natural history of obstructive coronary artery disease: Ten-year study of 601 nonsurgical cases . Prog Cardiovasc Dis 21:53-78, 1978;.

First Page Preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal