BACKGROUND: Current guidelines do not recommend routine coronary evaluation preceding @entity1028 ( @entity1028 ) repair in low-risk @entity1 . The purpose of the present study is to report the incidence of coronary lesions in candidates for @entity1028 repair with a Revised Cardiac Risk (Lee) Index (RCRI)<2, which are usually excluded from preoperative cardiological work-up. Early-term and long-term results of prophylactic myocardial revascularization are also reported. METHODS: A retrospective, observational, cohort study collecting clinical data on a series of 149 consecutive @entity1 undergoing preoperative coronary angiography and myocardial revascularization (percutaneous coronary intervention, PCI; coronary artery bypass grafting, CABG) before elective open or endovascular @entity1028 repair (January 2005-December 2012). RESULTS: Severe @entity453 ( @entity453 ) was revealed in 43 @entity1 (28.9%), who underwent successful myocardial revascularization by means of PCI (n.35) or off-pump CABG (n.8). The incidence of severe @entity453 in @entity1 resulted at low risk on the basis of risk models was approximately 25%. The incidence of severe @entity453 in asymptomatic @entity1 was 29.8%. Endovascular (n.52, 35.1%) and open (n.96, 64.9%) @entity1028 repair was performed with low morbidity (0.6%) and mortality (0.6%) in 148 @entity1 . The long-term estimated survival (freedom from fatal cardiovascular events) was 97% at 60 months and 82% at 90 months. CONCLUSIONS: The incidence of severe correctable @entity453 is not negligible in low-risk @entity1 scheduled for @entity1028 repair. Waiting for further recommendations based on large population studies of vascular @entity1 , a more extensive indication to coronary angiography and revascularization should be considered in many candidates for @entity1028 repair.

Coronary risk in candidates for XXXX repair: a word of caution.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity453 :: ('MESH:D003324', 'Disease') :: ['CAD', 'coronary artery disease'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysms', 'AAA']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysm']
