January 1, 1995European Journal of Cardio-Thoracic Surgery
Simultaneous coronary bypass and abdominal aortic surgery in patients with severe coronary disease — indication and results
Why the study?
Does simultaneous CABG and abdominal aortic surgery provide acceptable outcomes in patients with severe CAD and symptomatic abdominal aortic disease?
Population
29 patients with severe coronary artery disease and symptomatic abdominal aortic aneurysms or end-stage…
Design
Case_series
Follow-up
mean 20.5 +/- 2.5 months
Authors
Discussion
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Member takes
Implication
May support selected cases despite morbidity; leaves open need for comparative trials before broader adoption.
Structured PICO
Does simultaneous CABG and abdominal aortic surgery provide acceptable outcomes in patients with severe CAD and symptomatic abdominal aortic disease?
P
Population
29 patients with severe coronary artery disease (CAD) and symptomatic abdominal aortic aneurysms (AAA, n=25) or end-stage aortic occlusive disease (AOD, n=4). In the AAA group, mean age was 68 years, 23 males and 2 females.
I
Intervention
Simultaneous coronary artery bypass graft surgery (CABG) and abdominal aortic surgery, with the abdominal aortic surgery carried out while the patient was still on partial cardiopulmonary bypass.
O
Outcome
Hospital mortality, hospital morbidity, and actuarial survival rate at 3 yearshard clinical
Simultaneous CABG and abdominal aortic surgery is a feasible option with acceptable 3-year survival for patients with severe CAD and symptomatic abdominal aortic disease, despite substantial hospital morbidity.
Cite This Study
Autschbach et al. (1995) studied this question.