Abstract
Ischaemic cardiomyopathy is prevalent in peripheral vascular patients, with surgically correctable coronary lesions identified in one of three patients with abdominal aortic aneurysms (AAAs).1 Therefore, it is not surprising that peri-operative myocardial injury after non-cardiac surgery (MINS) remains a common complication, probably due to multiple factors such as demand ischaemia and systemic inflammatory response. Although MINS is largely a laboratory diagnosis based on rising troponin levels without symptoms of myocardial infarction, it has been shown to affect short and long term survival after carotid, lower extremity, and aortic aneurysm surgery.
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