The outcome of patients undergoing abdominal aortic aneurysm repair with and without cardiac disease.

PURPOSE We report the outcome of abdominal aortic aneurysm (AAA) repair with and without cardiac disease. In patients with cardiac disease, we compared staged procedures and simultaneous operations. MATERIAL AND METHODS A total of 217 patients underwent scheduled AAA repair from 1994 to 2005. When the AAA with cardiac disease was 5.0 cm or less in diameter, we performed a staged procedure. When it was more than 5.0 cm in diameter, we performed a simultaneous operation. Forty-two patients underwent simultaneous operations, and 15 had staged procedures. RESULTS No occurrence of major cardiac complication was detected in any patient postoperatively. There were no hospital deaths in either the no-cardiac-disease group or the staged-procedure group. There were two hospital deaths in the simultaneous group. The estimated actuarial 10-year survival rates were 58.9 +/- 9.9% and 68.2 +/- 1.5% for the no-cardiac-disease group and the with-cardiac-disease group, respectively (P = 0.85). The 10-year survival rates were 71.2 +/- 1.6% and 74.8 +/- 1.3% for the one-stage-operation group and the staged-operation group, respectively (P = 0.35). There was no significant difference with regard to hospital deaths and late mortality rate among the groups. CONCLUSION The simultaneous operation method is a useful technique in patients having both a large AAA and cardiac disease.