The safety of combined cardiac and vascular operations: How much is too much?

James J. Gangemi, Irving L. Kron, Scott D. Ross, Curtis G. Tribble, John A. Kern

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The purpose of this study was to identify factors correlating with a poor outcome following combined cardiac and vascular procedures. We reviewed 45 consecutive patients undergoing combined cardiac and vascular operations. These included cardiac/CEA (n = 27), cardiac/AAA (n = 13), cardiac/AAA/one other vascular reconstruction (n = 4), and cardiac/renal artery bypass (n = 1). Group 1 included all patients with no morbidity or mortality (n = 41) and Group II included patients who died or suffered significant morbidity (stroke, renal failure) (n = 4). Overall mortality was 4.4% (2/45). These two patients underwent cardiac surgery combined with two additional vascular procedures (cardiac/AAA/other). In patients undergoing cardiac/CEA or cardiac/AAA, there were no deaths and one stroke (contralateral to CEA). Group II had significantly decreased ejection fraction (39% ± 6% vs 52% ± 1%) and an increased number of procedures (2.75 vs 2.04). Combined cardiac surgery and vascular reconstruction can be performed safely. However, multiple vascular reconstructions or the presence of decreased ejection fraction increased operative risk.

Original languageEnglish (US)
Pages (from-to)452-456
Number of pages5
JournalVascular
Volume8
Issue number6
DOIs
StatePublished - Oct 2000
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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