Early and late outcome of cardiac surgery in patients with liver cirrhosis
作者： Farzan Filsoufi , Sacha P. Salzberg , Parwis B. Rahmanian , Thomas D. Schiano , Hussien Elsiesy
DOI: 10.1002/LT.21075
关键词:
摘要: Liver cirrhosis is a major risk factor in general surgery. Few studies have reported on the outcome of cardiac surgery these patients. Herein we report our recent experience this high-risk patient population according to Child-Turcotte-Pugh classification and Model for End-Stage Disease (MELD) score. Between January 1998 December 2004, 27 patients (mean age 58 +/- 10 yr, 20 male) with who underwent were identified. Patients class A (n = 10), B 11), C 6) mean MELD score was 14.2 4.2. Operative mortality 26% 7). Stratified 11%, 18%, 67% A, B, C, respectively. No occurred had revascularization without use cardiopulmonary bypass 5). The 1-yr survival 80%, 45%, 16% respectively (P 0.02). Major postoperative complications 22%, 56%, 100% better predictor hospital 0.02) compared 0.065). In conclusion, results suggest that can be performed safely selected B. remains high Careful selection critical order improve surgical cirrhosis.
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