Oxygen-dependent chronic obstructive pulmonary disease does not prohibit aortic aneurysm repair

Mark K. Eskandari, Robert Y. Rhee, David L. Steed, Marshall W. Webster, Satish C. Muluk, Jeffrey D. Trachtenberg, Robert M. Hoffman, Michel S. Makaroun*

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Scopus citations

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. Copyright (C) 1999 Excerpta Medica Inc.

Original languageEnglish (US)
Pages (from-to)125-128
Number of pages4
JournalAmerican journal of surgery
Volume178
Issue number2
DOIs
StatePublished - Aug 1 1999

ASJC Scopus subject areas

  • Surgery

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    Eskandari, M. K., Rhee, R. Y., Steed, D. L., Webster, M. W., Muluk, S. C., Trachtenberg, J. D., Hoffman, R. M., & Makaroun, M. S. (1999). Oxygen-dependent chronic obstructive pulmonary disease does not prohibit aortic aneurysm repair. American journal of surgery, 178(2), 125-128. https://doi.org/10.1016/S0002-9610(99)00130-0