Ollivier J P, Jault F, Gandjbakhch I, Droniou J, Cabrol C
Arch Mal Coeur Vaiss. 1985 Mar;78(3):420-5.
The value of aortocoronary bypass (ACB) before surgical correction of infrarenal abdominal aortic aneurysm (AAA) was studied in three groups of patients. Group I: 6 patients undergoing both procedures; group II: 14 coronary patients operated for AAA without prior ACB surgery; group III: 16 patients without coronary artery disease operated for AAA. The hospital mortality was nil in group I; 2 patients died of myocardial infarction in group II; 2 patients died of infection and of cerebrovascular accident respectively, in group III. The patients in group I were asymptomatic on follow-up (mean = 29.7 months) whilst 1 patient in group II developed angina. The essential problem associated with this type of patient remains the complexity of the diagnostic investigations which must include coronary and cervical arteriography. Although the indications for ACB before cure of AAA are obvious in symptomatic patients and/or with previous myocardial infarction, they remain debatable in other patients.
在三组患者中研究了在肾下腹主动脉瘤（AAA）手术矫正前进行主动脉冠状动脉搭桥术（ACB）的价值。第一组：6例患者同时接受了这两种手术；第二组：14例因AAA接受手术的冠心病患者，术前未进行ACB手术；第三组：16例无冠状动脉疾病的患者因AAA接受手术。第一组的医院死亡率为零；第二组有2例患者死于心肌梗死；第三组分别有2例患者死于感染和脑血管意外。第一组患者在随访中（平均 = 29.7个月）无症状，而第二组有1例患者出现心绞痛。与此类患者相关的主要问题仍然是诊断检查的复杂性，这必须包括冠状动脉和颈动脉造影。尽管对于有症状的患者和/或既往有心肌梗死的患者，在AAA治愈前进行ACB的指征很明显，但在其他患者中仍存在争议。
