This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (42)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Significance in Patients Undergoing an Abdominal Aortic Operation

Richard L. Treiman, MD; Robert F. Foran, MD; Ernest H. Shore, MD; Phillip M. Levin, MD

AMA Arch Surg. 1973;106(6):803-805.

Abstract
Records of 246 patients operated upon for abdominal aortic disease were reviewed. Of 200 patients operated upon electively, findings from auscultation of the neck were recorded in 196. In 40 a carotid bruit was present. Seven of these had a history of cerebral ischemia and in 33 the bruit was asymptomatic. Two patients operated uponelectively had postoperative stroke. Neither had a carotid bruit.

Forty-six patients had emergency operation for ruptured abdominal aortic aneurysm. Twenty-eight survived and 18 died. One patient had a postoperative stroke. Presence or absence of a carotid bruit was not recorded.

The study does not find a correlation between the presence of a carotid bruit and risk of postoperative stroke. We conclude that in patients who need abdominal aortic operation, the finding of an asymptomatic carotid bruit is not an indication for preoperative cerebrovascular arteriography.

Author Affiliations
Los Angeles

From the Cedars-Sinai Medical Center, Los Angeles.

Footnotes
Accepted for publication March 2, 1973.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 20, 1973.

Reprint requests to 435 N Bedford Dr, Beverly Hills, CA 90210 (Dr. Treiman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Noninvasive Neurovascular Tests for Carotid Artery Disease
CEBUL and GINSBERG
ANN INTERN MED 1982;97:867-872.
ABSTRACT  

Carotid Bruit: A Follow-up Report on Its Significance in Patients Undergoing an Abdominal Aortic Operation
Treiman et al.
Arch Surg 1979;114:1138-1140.
ABSTRACT  

Surgical Treatment of Carotid and Vertebral Artery Disease: An Updating to 1974
GRINDAL and TOOLE
ANN INTERN MED 1974;81:647-649.
ABSTRACT  

The Development of Carotid Artery Surgery
Thompson
Arch Surg 1973;107:643-648.
ABSTRACT