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

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.

• Authors: M K Eskandari, R Y Rhee, D L Steed, M W Webster, S C Muluk, J D Trachtenberg, R M Hoffman, M S Makaroun
• Journal: American journal of surgery (Am J Surg) Vol. 178 Issue 2 Pg. 125-8 (Aug 1999) ISSN: 0002-9610 [Print] United States
• PMID: 10487263 (Publication Type: Journal Article)

Chemical References

• Carbon Dioxide
• Oxygen

Topics

• Aged
• Aortic Aneurysm, Abdominal (pathology, surgery)
• Carbon Dioxide (blood, metabolism)
• Critical Care
• Elective Surgical Procedures
• Female
• Forced Expiratory Volume (physiology)
• Home Care Services
• Hospitalization
• Humans
• Intubation, Intratracheal
• Length of Stay
• Lung Diseases, Obstructive (complications, physiopathology, therapy)
• Male
• Oxygen (blood)
• Oxygen Inhalation Therapy
• Retrospective Studies
• Safety
• Survival Rate
• Time Factors
• Vital Capacity (physiology)