Key result
Combined 1-stage CABG and AAA open repair yields ~8% 30-day mortality and high early morbidity.
Systematic Review (n=256)
Combined 1-stage CABG and open AAA repair is associated with a 7.8% 30-day mortality and 53% early morbidity, which is considered acceptable given the complexity of the procedures.
Answers are grounded in this paper and cite their sources.
Acceptable risk supports combined 1-stage CABG and open AAA repair in selected patients; extends pooled evidence for surgical planning.
We reviewed the literature for studies investigating the outcomes of combined 1-stage coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) open repair (OR) procedures. An electronic search of the English literature was conducted using the PubMed, EMBASE, and Cochrane databases. Age, coronary heart disease severity, AAA size, mean duration from CABG to AAA OR procedures, details of each procedure, mortality, and morbidity rates were analyzed. Between 1994 and 2012, 12 studies (256 patients) with 1-stage treatment fulfilled the inclusion criteria and were analyzed. There were 20 early (30 days) deaths, accounting for a 30-day mortality rate of 7.8%. The early morbidity was 53% (136 of 256). One-stage treatment when necessary can be undertaken with acceptable mortality and reasonable morbidity rates considering the complexity of both the operations. Nowadays, endovascular AAA repair is preferred over OR. The outcomes of combined cardiac surgery and endovascular AAA repair have not been extensively evaluated.
No takes yet. Share an insight, caveat, or question.
Σπανός et al. (2013) conducted a systematic review in Coronary heart disease and abdominal aortic aneurysm (n=256). Combined 1-stage CABG and AAA open repair was evaluated on 30-day mortality. Combined 1-stage coronary artery bypass grafting and abdominal aortic aneurysm open repair resulted in a 30-day mortality rate of 7.8% and an early morbidity rate of 53%.
Synapse has enriched 10 related papers. Consider them for comparative context: