REVIEWS  THORACIC AND ABDOMINAL AORTIC ANEURYSMS CHALLENGES 

Italian Journal of Vascular and Endovascular Surgery 2007 September;14(3):247-55

Copyright © 2007 EDIZIONI MINERVA MEDICA

lingua: Inglese

Coronary artery disease in patients with abdominal aortic aneurysm: a systematic review

Vidakovic R. ¹, Feringa H. H. H. ¹, Schouten O. ², Dunkelgrun M. ², Hoeks S. E. ³, Van Domburg R. T. ³, Poldermans D. ⁴

¹ Department of Cardiology, Erasmus MC University of Rotterdam Rotterdam, the Netherlands 2 Department of Vascular Surgery, Erasmus MC University of Rotterdam Rotterdam, the Netherlands 3 Department of Clinical Epidemiology, Erasmus MC University of Rotterdam Rotterdam, the Netherlands 4 Department of Anesthesiology, Erasmus MC University of Rotterdam Rotterdam, the Netherlands

Coronary artery disease (CAD) is a frequent co-morbidity in patients with abdominal aortic aneurysm (AAA), and a leading cause of early and late morbidity and mortality after elective repair. In some patients, CAD can be asymptomatic because of reduced exercise capacity or due to pre-existing non-cardiac conditions. The preoperative identification of patients with underlying CAD is important to initiate appropriate treatment strategies to reduce the risk of perioperative complications. This review will provide current approach in preoperative evaluation of patients with CAD undergoing AAA repair. The use of clinical cardiac risk factors, noninvasive cardiac testing, novel biochemical markers, pharmacological and interventional strategies in stratification and modification of perioperative risk will be discussed.