Oxygen-dependent chronic obstructive pulmonary disease does not prohibit aortic aneurysm repair - 08/09/11
Abstract |
Background: Severe oxygen-dependent chronic obstructive pulmonary disease (COPD) is considered by many to be a contraindication to open abdominal aortic aneurysm (AAA) repair. We reviewed our own experience with this patient population.
Methods: From July 1995 to March 1999, 14 consecutive patients limited by home oxygen-dependent COPD underwent elective open infrarenal AAA repair. Their medical records were reviewed.
Results: The mean aortic aneurysm size was 6.3 cm. The mean PaO2 = 70 mm Hg, PaCO2 = 45 mm Hg, forced expiratory volume in 1 second (FEV1) = 34% of predicted, and forced vital capacity (FVC) = 67% of predicted. All 14 patients were extubated within 24 hours, mean length of hospital stay was 5.9 days, and there were no perioperative deaths.
Conclusions: Severe home oxygen-dependent COPD is not a contraindication to safe elective open AAA repair.
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Vol 178 - N° 2
P. 125-128 - août 1999 Regresar al número
Artículo precedente
- Awake aortic aneurysm repair in patients with severe pulmonary disease
- Walter E McGregor, Amy J Koler, Gaston Cornu Labat, Veeraiah Perni, Mark K Hirko, Jeffrey R Rubin
- Isolated iliac artery aneurysms in patients with or without previous abdominal aortic aneurysm repair
- Hasan H Dosluoglu, Maciej L Dryjski, Linda M Harris
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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