Mehmet BALKANAY, Hasan SUNAR, Ali FEDAKAR, Mehmet KALENDER, Onursal BUĞRA, Orhan FINDIK, Oğuz KONUKOĞLU

Evaluation of coronary artery disease and other risk factors in patients with abdominal aortic aneurysm

Amaç: Bu çalışmada abdominal aort anevrizması (AAA) ile koroner arter hastalığı (KAH) ve diğer risk faktörleri arasındaki ilişki araştırıldı. Çalışma planı: Ocak 1998 - Aralık 2008 tarihleri arasında kliniğimizde ameliyat edilen cerrahi sınırlardaki AAA’lı 163 hasta (145 erkek, 18 kadın; ort. yaş 64.4±8.9 yıl; dağılım 39-88 yıl) çalışmaya dahil edildi ve hastane tarafından sağlanan hasta kayıtları geriye dönük olarak incelendi. Bulgular: En sık eşlik eden risk faktörleri hipertansiyon (%79.8), sigara kullanımı (%70.6), KAH (%50.3), kronik obstrüktif akciğer hastalığı (KOAH) (%36.8), yüksek serum üre seviyesi (%9.2) ve periferal arter hastalığı (%2.5) idi. Hastalar KAH varlığına göre gruplandırıldı ve risk faktörleri açısından karşılaştırıldı. Gruplar yaş, semptomlar, anevrizma çapı ve boyu, hipertansiyon, KOAH, serum üre seviyesi, yoğun bakım ünitesinde kalış süresi, taburcu olana kadar geçen süre ve komplikasyonlar yönünden karşılaştırıldığında gruplar arasında anlamlı bir fark saptanmadı. Bununla beraber, KAH grubunda sigara içenlerin sayısı KAH’siz gruba göre anlamlı düzeyde daha yüksekti. Koroner arter bypass greftleme işlemi genellikle KAH grubundaki anevrizma çapı daha yüksek olan hastalarda yapıldı. Sonuç: Aort anevrizması ile KAH ve diğer risk faktörleri arasındaki ilişki araştırıldığında, AAA’lı hastalar arasındaki sigara kullanımı, KAH’li hastalarda anlamlı olarak daha yüksek bulundu. Koroner arter bypass greftleme işleminin anevrizma çapı daha yüksek olan hasta grubunda daha gerekli olduğu tespit edildi.

Abdominal aort anevrizmalı hastalarda koroner arter hastalığı ve diğer risk faktörlerinin değerlendirilmesi

Background: This study aims to investigate the relationship between abdominal aortic aneurysm (AAA) and coronary artery disease (CAD) along with other risk factors. Methods: One hundred sixty-three patients with AAA (145 males, 18 females; mean age 64.4±8.9 years; range 39 to 88 years) who underwent surgery in our clinic between January 1998 and December 2008 were included in the study, and the patient records provided by the hospital were retrospectively assessed. Results: The most common accompanying risk factors were hypertension (79.8%), smoking (70.6%), CAD (50.3%) chronic obstructive pulmonary disease (COPD) (36.8%), a high serum urea level (9.2%), and peripheral artery disease (2.5%). Patients were grouped according to the presence of CAD and then compared in terms of risk factors. When groups were compared in terms of age, symptoms, length and diameter of the aneurysm, hypertension, COPD, serum urea level, duration of intensive care unit stay, time to discharge, and complications, no significant differences were observed between the groups. However, the number of cigarette smokers in the CAD group was significantly higher than those in the non-CAD group. The coronary artery bypass graft procedure was mostly performed in patients with higher aneurysm diameters in the CAD group. Conclusion: In the evaluating the correlation between aortic aneurysm and CAD, along with the other risk factors, smoking was found to be significantly higher in patients with CAD among the AAA patients. The coronary artery bypass graft procedure was found to be more necessary for the patient group with higher aneurysm diameters.

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