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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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III. MANAGEMENT OF THE “POLYVASCULAR PATIENT”
2. ABDOMINAL AORTIC ANEURYSMS AND CONCOMITANT CORONARY DISEASE
A. Open repair  THE MULTIFOCAL ATHEROSCLEROTIC PATIENT
DIAGNOSIS AND MANAGEMENT IN 2003


The Journal of Cardiovascular Surgery 2003 June;44(3):431-5

language: English

Cardiac risk and perioperative management

Kertai M. D. 1, Poldermans D. 2, Bax J. J. 1, Klein J. 3, Van Urk H. 2

1 Depart­ment of Car­di­ology Erasmus Med­ical ­Centre, Rot­terdam, The Neth­er­lands
2 Vas­cular Sur­gery Erasmus Med­ical ­Centre, Rot­terdam, The Neth­er­lands
3 Anaesthe­sio­logy Erasmus Med­ical ­Centre, Rot­terdam, The Neth­er­lands


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Car­di­o­vas­cular com­pli­ca­tions are the ­major ­cause of per­i­op­er­a­tive and ­late mor­bidity and mor­tality in ­patients under­going ­major vas­cular sur­gery. ­This is ­related to the fre­quent pres­ence of under­lying cor­o­nary ­artery dis­ease (CAD). CAD may be asymp­to­matic ­because of ­reduced exer­cise ­capacity due to pre-­existing non-car­diac con­di­tions ­like ­stroke or claud­i­ca­tion. ­Careful pre­op­er­a­tive eval­u­a­tion of CAD and per­i­op­er­a­tive man­age­ment ­with ­β-­blockers and sta­tins may ­offer the phy­si­cian a ­unique oppor­tu­nity to ­improve ­patients’ per­i­op­er­a­tive and ­long-­term out­come.

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