Clinical characteristics and perioperative management of abdominal aortic aneurysm complicated with coronary heart disease

doi:10.3969/j.issn.1006-7795.2015.01.005

Abstract

Abstract: Objective To investigate clinical features and perioperative treatment experience of abdominal aortic aneurysm (AAA) complicated with coronary heart disease. Methods A retrospective analysis was performed on 225 patients with perioperative AAA complicated with coronary artery disease (CAD)seen from January 1991 to August 2014 as study group, and another 225 cases with AAA without CAD treated with open surgery or endovascular aneurysm repair as control group. Treatment and complications were analyzed. Results Compared with the control group, preoperative inspection of diabetes and hyperlipidemia showed a high incidence (P<0.01) in the study group. The proportions of cases with low density lipoprotein-cholesterol (LDL-C) and LDL-C/high density lipoprotein-cholesterol(HDL-C) increased (P<0.01), HDL-C (P<0.01) decreased were significantly higher in the study group. Perioperative complication rate of circulatory and respiratory system was higher in the study group 19.1% (43/225), 7.6%(17/225), the difference was statistically significant (P<0.01, P<0.05). There was no significant difference in perioperative blood loss and intensive care unit (ICU) stay. Total complications in the study group increased significantly (P<0.01). Conclusion For patients with AAA complicated with coronary heart disease, attention should also be paid to the control of diabetes, hyperlipidemia, and take reasonable surgical program according to the disease status. If the anatomical conditions are suitable, endovascular aneurysm rapair (EVAR) is the treatment of choice. We should provide a careful and meticulous perioperative management to AAA patients to reduce postoperative complications.

Key words: aneurysm, coronary heart disease(CHD), perioperative

CLC Number:

R654.3

Yang Yaoguo, Chen Zhong, Tang Xiaobin, Kou Lei, Wu Zhangmin, Liu Hui, Wang Sheng, Zhang Zheng, Jia Yunfeng, He Nan. Clinical characteristics and perioperative management of abdominal aortic aneurysm complicated with coronary heart disease[J]. Journal of Capital Medical University, 2015, 36(1): 23-27.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2015.01.005

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2015/V36/I1/23

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