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Risk factors of atheromatous aorta in cardiovascular surgery

Fernando A Atik1, Isaac Azevedo Silva1, Claudio Ribeiro da Cunha1

  • 1Instituto de Cardiologia do Distrito Federal, Brasília, DF, Brasil.

Revista Brasileira De Cirurgia Cardiovascular : Orgao Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
|February 26, 2015
PubMed

Insights

Atheromatous aorta disease affects 3.3% of cardiovascular surgery patients, linked to older age, hypertension, and other vascular conditions. This condition independently predicts postoperative cerebrovascular accidents, necessitating careful aortic assessment.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Disease Epidemiology

Background:

  • Atheromatous disease of the aorta is a significant concern in cardiovascular surgery.
  • Understanding its prevalence, risk factors, and impact on patient outcomes is crucial.

Purpose of the Study:

  • To determine the prevalence and profile of ascending aorta or aortic arch atheromatous disease in cardiovascular surgery patients.
  • To identify risk factors associated with this condition.
  • To evaluate its prognostic implication early after surgery.

Main Methods:

  • Analysis of 2042 consecutive adult patients undergoing cardiovascular surgery between January 2007 and June 2011.
  • Intraoperative diagnosis of atheromatous aorta via surgeon palpation.
  • Multivariate logistic regression used to study determinants and prognostic implications.

Main Results:

  • Prevalence of atheromatous aorta was 3.3% (68 patients).
  • Key determinants included age > 61 years, coronary artery disease, hypertension, and peripheral vascular disease.
  • Atheromatous aorta was an independent predictor of postoperative cerebrovascular accident (OR=3.46).

Conclusions:

  • Atheromatous aorta, though infrequent, is associated with advanced age, hypertension, coronary artery disease, and peripheral vascular disease.
  • Patients with atheromatous aorta face a higher risk of postoperative cerebrovascular accident.
  • Enhanced preoperative and intraoperative assessment of the aorta is warranted in these patients.
Abstract

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