Diagnosis and treatment of concomitant aortic and coronary disease - A retrospective study and brief review

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dc.contributor.authorIslamoglu, F
dc.contributor.authorAtay, Y
dc.contributor.authorCan, L
dc.contributor.authorKara, E
dc.contributor.authorOzbaran, M
dc.contributor.authorYuksel, M
dc.contributor.authorBuket, S
dc.date.accessioned2019-10-27T11:51:17Z
dc.date.available2019-10-27T11:51:17Z
dc.date.issued1999
dc.departmentEge Üniversitesien_US
dc.description.abstractCoronary arteriosclerosis seriously complicates the surgical treatment of aortic diseases. The aim of our retrospective study was to determine the incidence of coronary artery disease among our surgical patients in treatment for aortic dissection or aneurysm, and to determine whether coronary intervention before aortic surgery appears to affect outcomes. Between January 1993 and 1 March 1998, our center treated 253 patients for aortic dissection or aneurysm. We examined these cases retrospectively for information on diagnostic and treatment methods, both for the aortic lesions and for concomitant coronary arteriosclerosis. Aortic dissection had been detected in 86 (33.9%) patients and aortic aneurysm in 167 (66.1%). Coronary angiography was performed to search for concomitant coronary artery disease in 29 (33.8%) patients with dissection and in 112 (67.1%) patients with aneurysm; of these, 11 (12.7%) and 54 (32.3%), respectively, were found to have coronary disease. Among 43 patients with abdominal aortic aneurysm in whom coronary angiography was performed concomitant coronary disease was detected in 36 (83.7%). Coronary artery bypass surgery was performed in 10 patients who had dissection and in 30 patients who had aneurysm; percutaneous transluminal coronary angioplasty was performed in 7 patients who had aneurysm. Perioperative mortality rates in the dissection and aneurysm groups, overall, were 23.2% and 13.8%, respectively. Unfortunately the prospective, random clinical study that would be necessary to prove the case for or against preoperative coronary angiography among subsets of patients in need of aortic repair would raise ethical questions, given the strength of the information already in our possession, gathered by less formal methods. Our study reinforces existing evidence that preoperative angiography can reduce mortality and morbidity in the elective repair of aortic aneurysm, especially thoracic or abdominal aneurysm. However; angiography should not be performed routinely in cases of aortic dissection and should be withheld in cases of type A dissection.en_US
dc.identifier.endpage188en_US
dc.identifier.issn1526-6702
dc.identifier.issue3en_US
dc.identifier.pmid10524739en_US
dc.identifier.startpage182en_US
dc.identifier.urihttps://hdl.handle.net/11454/34525
dc.identifier.volume26en_US
dc.identifier.wosWOS:000083140900006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTexas Heart Insten_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectaneurysm, dissecting/complicationsen_US
dc.subjectaneurysm, dissecting/mortalityen_US
dc.subjectaortic aneurysm/complicationsen_US
dc.subjectaortic aneurysm/mortalityen_US
dc.subjectcoronary disease/complicationsen_US
dc.subjectcoronary disease/diagnosisen_US
dc.subjectheart catheterizationen_US
dc.subjectpreoperative careen_US
dc.subjectretrospective studiesen_US
dc.subjectrisk factorsen_US
dc.titleDiagnosis and treatment of concomitant aortic and coronary disease - A retrospective study and brief reviewen_US
dc.typeArticleen_US

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