Abstract
Cardiac complications (perioperative myocardial infarction and cardiac death) are the leading cause of morbidity and mortality in patients undergoing major vascular surgery. The incidence of these complications has been reported to be up to 25%. Compared with open surgery, endovascular procedures are associated with fewer perioperative complications. However, long-term outcome is similar for both open and endovascular procedures, suggesting that long-term outcome is primarily related to the presence and extent of underlying coronary artery disease and not to the treatment modality. Patients requiring major aortic reconstruction need a thorough cardiovascular evaluation and risk stratification in order to assess the feasibility of surgery, the opportunity for preoperative myocardial revascularization or treatment of valvulopathies, the optimization of medical therapy, and the surgical approach. In particular, preoperative cardiac evaluation may help to identify high-risk patients in whom coronary angiography may be planned with subsequent coronary revascularization for the purpose of improving perioperative and long-term cardiac outcomes.
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Pappalardo, F., Melisurgo, G. (2011). Cardiovascular Evaluation, Risk Stratification, and Management of Postoperative Myocardial Infarction. In: Chiesa, R., Melissano, G., Zangrillo, A. (eds) Thoraco-Abdominal Aorta. Springer, Milano. https://doi.org/10.1007/978-88-470-1857-0_16
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DOI: https://doi.org/10.1007/978-88-470-1857-0_16
Publisher Name: Springer, Milano
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