Assuntos
Angiografia Digital/métodos , Angiografia Cerebral/métodos , Meios de Contraste , Gadolínio DTPA , Aneurisma Intracraniano/diagnóstico por imagem , Doenças Renais Policísticas/complicações , Insuficiência Renal/complicações , Meios de Contraste/administração & dosagem , Creatinina/sangue , Feminino , Gadolínio DTPA/administração & dosagem , Humanos , Injeções Intravenosas , Pessoa de Meia-Idade , Intensificação de Imagem Radiográfica , Insuficiência Renal/sangueRESUMO
Between January 1993 and January 1995, seventy patients over 70 years of age underwent coronary artery revascularization and were retrospectively reviewed. The anesthetic protocole, the surgical technique and the intraoperative myocardial protection were similar for all patients. Fourteen patients (19.8%) suffered major postoperative complications: stroke (3 cases), myocardial infarction (5 cases), left ventricular failure with intraaortic counter-pulsation (2 cases), gastrointestinal hemorrhage (2 cases), respiratory failure (2 cases). Thirty patients (42.6%) had minor complications with no impact on survival or hospital stay. Hospital mortality was 7.1% (5 patients) and was caused by left ventricular failure (2 cases), stroke (1 case), gastrointestinal hemorrhage (1 case), respiratory failure (1 case). Mortality was found to be correlated with preoperative renal failure, peripheral vascular disease and concomitant carotid endarterectomy. Patients remained in the cardiac surgery unit for 60 hours. The mean length of hospital stay was 8.2 days. Follow-up from 1 to 24 months revealed NYHA angina class I-II in 85% of the patients. These results are similar to other studies. We conclude that coronary artery revascularization in the elderly yields good results, with fair mortality and morbidity rates.
Assuntos
Idoso , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/métodos , Causas de Morte , Feminino , Mortalidade Hospitalar , Humanos , Tempo de Internação , Masculino , Estudos Retrospectivos , Fatores de Risco , Resultado do TratamentoRESUMO
Vascular complications, mostly hematomas and false aneurysms, are rare after coronary angiography. Infectious problems are even less frequent and a mycotic aneurysm is an extremely rare complication. Our patient presented with a mycotic aneurysm of the external iliac artery following percutaneous transluminal coronary angioplasty.