Key result
Abdominal aortic aneurysmectomy was successfully performed in two long-term cardiac transplant survivors, highlighting the need for close surveillance for atherosclerotic disease in this population.
Case Report (n=2)
No
Long-term cardiac transplant survivors, especially those with prior atherosclerotic disease, require close surveillance for other manifestations of atherosclerosis such as abdominal aortic aneurysms, which can be successfully resected.
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Successful AAA repair is feasible post-cardiac transplant; leaves open whether routine surveillance improves outcomes.
Two thirds of the 114 patients undergoing heart transplantation at Stanford (Calif) Medical Center have had atherosclerotic cardiac disease. Two of these patients have been found in the late posttransplant period to have symptomatic abdominal aortic aneurysms requiring resection. We present the clinical course and successful operative treatment of these two patients, with emphasis on the prophylaxis of infection and maintenance of hemodynamic, metabolic, and immune stability. Close surveillance of the long-term cardiac transplant survivor should be directed towards other manifestations of atheroscleortic disease.
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Bruce A. Reitz (1977) conducted a case report in Symptomatic abdominal aortic aneurysms in long-term cardiac transplant survivors (n=2). Abdominal aortic aneurysmectomy was evaluated on Clinical course and successful operative treatment. Abdominal aortic aneurysmectomy was successfully performed in two long-term cardiac transplant survivors, highlighting the need for close surveillance for atherosclerotic disease in this population.
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