Review of Coronary Artery Disease in Patients With Infrarenal Abdominal Aortic Aneurysm
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概要
- 論文の詳細を見る
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.
- 社団法人日本循環器学会の論文
- 2002-11-20
著者
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Yamada Nobuyuki
Department of Cardiology, Mitsubishi Kyoto Hospital
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Kioka Yukio
Departments Of Cardiovascular Surgery Fukuyama Municipal Hospital
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Kioka Yukio
Department Of Cardiovascular Surgery And Cardiology Fukuyama Municipal Hospital
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Yamada Nobuyuki
Department Of Cardiology Mitsubishi Kyoto Hospital
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Nakahama Makoto
Department Of Cardiovascular Medicine Fukuyama City Hospital
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Nakahama Makoto
Departments Of Cardiology Fukuyama Municipal Hospital
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Maruyama Masahiko
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and
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Kotani Yasuhiro
Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry
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UEDA Toshiyuki
Department of Electrical Engineering, Faculty of Engineering Science, Osaka University
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Ueda Toshiyuki
Departments Of Cardiology Fukuyama Municipal Hospital
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Maruyama Masahiko
Departments Of Cardiology Fukuyama Municipal Hospital
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Kotani Yasuhiro
Department Of Cardiovascular Surgery Okayama University Graduate School Of Medicine And Dentistry
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Kotani Yasuhiro
Departments Of Cardiovascular Surgery Fukuyama Municipal Hospital
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Tanabe Atsusi
Departments of Cardiovascular Surgery, Fukuyama Municipal Hospital
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Seitou Tetsusi
Departments of Cardiology, Fukuyama Municipal Hospital
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Tanabe Atsusi
Departments Of Cardiovascular Surgery Fukuyama Municipal Hospital
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Seitou Tetsusi
Departments Of Cardiology Fukuyama Municipal Hospital
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Yamada Nobuyuki
Departments Of Cardiology Fukuyama Municipal Hospital
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Nakahama Makoto
Department of Cardiology, Fukuyama City Hospital
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UEDA Toshiyuki
Department of Cardiology, Mitoyo General Hospital
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