[HSF] AAA and CABG

[Tea Acuff]

personal experience or perference. 
Unless the AAA is symptomatic I would do CAB followed by AAA in a few days to few weeks depending on how patient does from first insult.There is quoted some increase risk of peri op ruture, but i don't really think there is clear evidence of such. I tell patients that if they need urgent (or nonurgent for that matter) AAA it is better to have normal or near normal blood flow to the heart. (how is that for avoiding quoting specific supporting opinion) Of course it is better not to need urgent operations.

tea



----- Original Message ----
From: Erez Sharoni <erezsharoni at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, April 14, 2008 2:55:37 PM
Subject: [HSF] AAA and CABG

Dear Colleagues,
I remember this was a discussed issue once - looking for a reference about
timingg of  CABG operation in a 7 cm AAA - before, after - concomitant?
We have a Pt with a 7 cm AAA who was sent by anaesthesia for a cath based on
abnormal perfusion scan (cleared by cardiology for operation based on this
scan) sure enough - TVD - needs CABG.
Needs some urgent answers Based on the literature and personal experience.
Thanks in advance
Erez Sharoni
Israel
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