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Ann Thorac Surg 2003;75:1340-1348
© 2003 The Society of Thoracic Surgeons

Review

Cardiac complications after noncardiac thoracic surgery: an evidence-based current review

Koen De Decker, MDa*, Philippe G. Jorens, MD, PhDa, Paul Van Schil, MD, PhDb

a Department of Intensive Care Medicine, Edegem, Belgium
b Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Belgium

* Address reprint requests to Dr De Decker, Department of Intensive Care Medicine, Antwerp University Hospital, Wilrijkstraat 10, B-2650 Edegem, Belgium
e-mail: koen.de.decker{at}uza.be

Despite advances in perioperative management, thoracic surgery remains a high-risk procedure for many patients. A systematic review of cardiac complications after thoracic surgery is presented. Most reviews about noncardiac thoracic surgery discuss postoperative analgesic regimens and pulmonary complications. In the present review, we also discuss atrial fibrillation as the most frequently encountered cardiac side effect. An evidence-based approach to other complications, such as myocardial ischemia, pulmonary edema, embolism, and shunt, is described. Furthermore, we offer recommendations for daily practice.




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