Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: Optimization of myocardial stress by controlled phlebotomy.
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Date
2009-07
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Abstract
The repair of abdominal aortic aneurysm (AAA) in the presence of significant coronary artery disease (CAD) carries a high-risk of adverse peri-operative cardiac event. The options to reduce cardiac risk include perioperative β-blockade, preoperative optimization by myocardial revascularization and simultaneous (combined) coronary artery bypass grafting and aneurysm repair. We describe intra-operative controlled phlebotomy to optimize myocardial stress during repair of infrarenal AAA in a patient with significant stable CAD.
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Keywords
Coronary artery disease, infrarenal abdominal aortic aneurysm, phlebotomy
Citation
Neema Praveen Kumar, Kumar Arun Vijaya, Manikandan S, Rathod Ramesh Chandra. Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: Optimization of myocardial stress by controlled phlebotomy. Annals of Cardiac Anaesthesia. 2009 Jul; 12(2): 133-135.