High prevalence of unsuspected abdominal aortic aneurysms in patients hospitalised for surgical coronary revascularisation.

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Serval ID
serval:BIB_5F9672892FDA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
High prevalence of unsuspected abdominal aortic aneurysms in patients hospitalised for surgical coronary revascularisation.
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Monney P., Hayoz D., Tinguely F., Cornuz J., Haesler E., Mueller X.M., von Segesser L.K., Tevaearai H.T.
ISSN
1010-7940 (Print)
ISSN-L
1010-7940
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
25
Number
1
Pages
65-68
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
OBJECTIVES: Prevalence of abdominal aortic aneurysms (AAA) is not exactly known among patients with coronary artery disease (CAD) who are considered for surgical revascularisation. We evaluated the value of screening AAA among coronary patients admitted in our cardiovascular surgery unit.
METHODS: Over a 24-month period, an abdominal echography was proposed to male patients aged 60 or more while hospitalised for surgical coronary revascularisation. Patients with previous investigation of the aorta were excluded. The aorta was considered aneurysmal when the anterior-posterior diameter was of 30 mm or more.
RESULTS: Three hundred and ninety-five consecutive patients all accepted a proposed abdominal echographic screening for AAA. Forty unsuspected AAA were detected (10.1%). The mean diameter was 38.9 +/- 1.3 mm. Four AAA were larger than 50 mm and considered for surgery after the CABG procedure. Surveillance was proposed to the other 36, especially the 10 patients with an AAA larger than 40 mm. Patients with AAA were significantly older than those without AAA (71.3 +/- 0.8 vs. 69.4 +/- 0.3 years, P<0.05). Smoking history (P<0.05) and hypertension (P<0.05) were also associated more frequently with AAA. More than 16% of the patients being smokers and suffering hypertension presented with unsuspected AAA.
CONCLUSIONS: In-hospital screening of AAA is very efficient among patients with coronary artery disease. Therefore, patients with CAD may be considered for routine AAA screening.
Keywords
Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal/epidemiology, Aortic Aneurysm, Abdominal/surgery, Coronary Artery Disease/surgery, Echocardiography/methods, Hospitalization, Humans, Male, Mass Screening/methods, Mass Screening/standards, Middle Aged, Myocardial Revascularization, Prevalence, Regression Analysis, Risk Factors
Pubmed
Web of science
Open Access
Yes
Create date
29/01/2008 9:56
Last modification date
25/09/2019 7:09
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