TY - JOUR
T1 - Oxygen-dependent chronic obstructive pulmonary disease does not prohibit aortic aneurysm repair
AU - Eskandari, Mark K.
AU - Rhee, Robert Y.
AU - Steed, David L.
AU - Webster, Marshall W.
AU - Muluk, Satish C.
AU - Trachtenberg, Jeffrey D.
AU - Hoffman, Robert M.
AU - Makaroun, Michel S.
PY - 1999/8/1
Y1 - 1999/8/1
N2 - 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. Copyright (C) 1999 Excerpta Medica Inc.
AB - 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. Copyright (C) 1999 Excerpta Medica Inc.
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U2 - 10.1016/S0002-9610(99)00130-0
DO - 10.1016/S0002-9610(99)00130-0
M3 - Article
C2 - 10487263
AN - SCOPUS:0032828296
SN - 0002-9610
VL - 178
SP - 125
EP - 128
JO - American journal of surgery
JF - American journal of surgery
IS - 2
ER -