HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bizouarn, P. Articles by Michaud, J. L. Search for Related Content PubMed PubMed Citation Articles by Bizouarn, P. Articles by Michaud, J. L.

Ann Thorac Surg 1999;67:1334-1338
© 1999 The Society of Thoracic Surgeons

---

Original Articles

Early and late outcome after elective cardiac surgery in patients with cirrhosis

^a Departments of Anesthesiology and Cardiothoracic Surgery, Hôpital G. et R. Laënnec, Nantes, France

Accepted for publication November 16, 1998.

Address reprint requests to Dr Bizouarn, Service d’Anesthésie-Réanimation, Hôpital G. et R. Laënnec, 44035 Nantes, France

Background. A prospective study was performed to evaluate the early and late outcome after elective cardiac surgery in patients with cirrhosis.

Methods. All patients who underwent elective cardiac surgery between 1995 and 1997, and were suspected of having a history of cirrhosis, were followed in the intensive care unit (ICU), during hospitalization and after hospital discharge. All patients received high doses of aprotinin during surgery.

Results. Ten patients of Child-Pugh class A and 2 patients of Child-Pugh class B were studied. All patients had signs of portal hypertension, and 11 of 12 patients had thrombocytopenia. In the first 24 h after operation, the median chest tube output was 810 mL (range 350 to 1,500 mL). Median ICU and hospital stays were 3 and 15 days, respectively (range 2 to 10 and 7 to 36 days, respectively). Seven patients experienced postoperative morbidity and 7 patients had significant complications after their hospital discharge. One death occurred in the ICU. Two deaths occurred after hospital discharge and were related to further hepatic damage.

Conclusions. These results suggest that, in patients with mild or moderate cirrhosis, the incidence of significant complications was high after elective cardiac surgery, increasing the length of stay in ICU and overall hospitalization time and compromising the health status, even well after the operation.

This article has been cited by other articles:

				R.-B. Hsu, C.-I Chang, F.-Y. Lin, N.-K. Chou, N.-H. Chi, S.-S. Wang, and S.-H. Chu Heart transplantation in patients with liver cirrhosis. Eur. J. Cardiothorac. Surg., August 1, 2008; 34(2): 307 - 312. [Abstract] [Full Text] [PDF]

				K. Iino, S. Tomita, S. Yamaguchi, and G. Watanabe Successful aortic valve replacement using dilutional ultrafiltration during cardiopulmonary bypass in a patient with Child-Pugh class C cirrhosis Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 331 - 332. [Abstract] [Full Text] [PDF]

				T. Iwata, K. Inoue, N. Nishiyama, K. Nagano, N. Izumi, T. Tsukioka, S. Hanada, and S. Suehiro Factors predicting early postoperative liver cirrhosis-related complications after lung cancer surgery in patients with liver cirrhosis Interactive CardioVascular and Thoracic Surgery, December 1, 2007; 6(6): 720 - 730. [Abstract] [Full Text] [PDF]

				R.-B. Hsu, F.-Y. Lin, N.-K. Chou, W.-J. Ko, N.-H. Chi, and S.-S. Wang Heart transplantation in patients with extreme right ventricular failure Eur. J. Cardiothorac. Surg., September 1, 2007; 32(3): 457 - 461. [Abstract] [Full Text] [PDF]

				S. Matsukuma, H. Yamaguchi, and M. Hamawaki Stanford Type A Aortic Dissection with Child B Liver Cirrhosis Asian Cardiovasc Thorac Ann, June 1, 2007; 15(3): e38 - e40. [Abstract] [Full Text] [PDF]

				Y. An, Y.-B. Xiao, and Q.-J. Zhong Open-heart surgery in patients with liver cirrhosis Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1094 - 1098. [Abstract] [Full Text] [PDF]

				A. Ben Ari, E. Elinav, A. Elami, and I. Matot Off-pump coronary artery bypass grafting in a patient with Child class C liver cirrhosis awaiting liver transplantation Br. J. Anaesth., October 1, 2006; 97(4): 468 - 472. [Abstract] [Full Text] [PDF]

				J. N.K. Odim, J. Wu, H. Laks, A. Banerji, and S. Drant Cardiac Surgery in Children With End-Stage Liver Disease Awaiting Liver Transplantation Ann. Thorac. Surg., February 1, 2006; 81(2): 697 - 700. [Abstract] [Full Text] [PDF]

				C.-H. Lin, F.-Y. Lin, S.-S. Wang, H.-Y. Yu, and R.-B. Hsu Cardiac Surgery in Patients With Liver Cirrhosis Ann. Thorac. Surg., May 1, 2005; 79(5): 1551 - 1554. [Abstract] [Full Text] [PDF]

				C. Carr and J. Desai OPCAB Surgery in a Cirrhotic Hepatocellular Carcinoma Patient Awaiting Liver Transplant Ann. Thorac. Surg., October 1, 2004; 78(4): 1460 - 1462. [Abstract] [Full Text] [PDF]

				E. A. Hessel II Abdominal Organ Injury After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2004; 8(3): 243 - 263. [Abstract] [PDF]

				N. Hayashida, T. Shoujima, H. Teshima, Y. Yokokura, K. Takagi, H. Tomoeda, and S. Aoyagi Clinical outcome after cardiac operations in patients with cirrhosis Ann. Thorac. Surg., February 1, 2004; 77(2): 500 - 505. [Abstract] [Full Text] [PDF]

				V. Vijay and J. P. Gold Late Complications of Cardiac Surgery Card. Surg. Adult, January 1, 2003; 2(2003): 521 - 537. [Full Text]

				R. G. Stuklis, D. F. O'Shaughnessy, and S. K. Ohri Novel approach to bleeding in patients undergoing cardiac surgery with liver dysfunction Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 219 - 220. [Abstract] [Full Text] [PDF]