Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: optimization of myocardial stress by controlled phlebotomy.
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Date
2009
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Annals of cardiac anaesthesia
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 beta-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.
Description
Keywords
Critical Care
Citation
Annals of cardiac anaesthesia. 12; 2; 133-5