| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2005;79:1551-1554
© 2005 The Society of Thoracic Surgeons
Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan, China
Accepted for publication November 10, 2004.
* Address reprint requests to Dr Hsu, National Taiwan University Hospital, No. 7, Chung-Shan S. Rd, Taipei, Taiwan 100, ROC (E-mail: ronbin{at}ha.mc.ntu.edu.tw).
BACKGROUND: Cardiac surgery was infrequently performed in patients with liver cirrhosis, and its clinical outcome has been reported only in small series. We sought to evaluate the clinical outcome of cardiac operation in patients with noncardiac liver cirrhosis.
METHODS: Data were collected by a retrospective case note review. The preoperative, intraoperative, and postoperative variables were recorded. The severity of liver cirrhosis was graded using the Child-Pugh classification.
RESULTS: Between January 1993 and May 2004, 18 patients with liver cirrhosis underwent cardiac surgery at the authors' hospital. Thirteen patients had hepatitis virus infection, and 5 cases were alcohol related. Thirteen patients were classified as Child A cirrhosis, 4 were class B, and 1 was class C. Sixteen patients underwent cardiac surgery with the use of cardiopulmonary bypass, and 2 patients underwent off-pump coronary artery bypass surgery. The overall in-hospital mortality rate was 6% (1 of 18), and there was no death in 5 class B and C cirrhotic patients. The rate of major complication was 39% in class A and 80% in class B and C.
CONCLUSIONS: Although the postoperative complication was common, cardiac operation could be performed safely in patients with mild and advanced liver cirrhosis.
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]
|
|
|
|
 |
|
 T. Iwata, K. Inoue, N. Nishiyama, K. Nagano, N. Izumi, S. Mizuguchi, R. Morita, T. Tsukioka, and S. Suehiro Long-Term Outcome of Surgical Treatment for Non-Small Cell Lung Cancer With Comorbid Liver Cirrhosis Ann. Thorac. Surg., December 1, 2007; 84(6): 1810 - 1817. [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]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
A. Iwasaki, T. Shirakusa, K. Okabayashi, K. Inutsuka, S. Yoneda, S. Yamamoto, and T. Shiraisi Lung cancer surgery in patients with liver cirrhosis. Ann. Thorac. Surg., September 1, 2006; 82(3): 1027 - 1032. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
