Abdominal aortic aneurysm and lower-limb occlusive arterial disease
Hassen-Khodja, R.; Le Bas, P.; Pittaluga, P.; Batt, M.; Declemy, S.; Bariseel, H.
Journal of Cardiovascular Surgery 39(2): 141-145
1998
ISSN/ISBN: 0021-9509 PMID: 9638995 Document Number: 496644
Background. Abdominal aortic aneurysms (AAA) are associated with lower-limb occlusive arterial disease (LLOAD) in 20-40% of patients. Retrospective analysis of 200 elective AAA repairs and comparison with literature data revealed that LLOAD has little influence on standard therapeutic management of AAA. Methods. In this study, only 2.5% of die patients required femoropopliteal bypass along with aneurysm repair. in contrast, aneurysm repair was associated with lumbar sympathectomy in 30% of cases owing to existence of peripheral arterial disease. Results. Concurrent LLOAD did not significantly increase the operative mortality of AAA, but postoperative peripheral arterial complications were more frequent in patients with both aneurysmal and occlusive disease. Conclusions. Although concomitant LLOAD did not adversely affect the long-term survival of patients who underwent surgical repair of AAA, this subgroup of patients was at higher risk of aggravation of their lower extremity arterial lesions.