Indication and perioperative management for cardiac surgery in patients with liver cirrhosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-06

AUTHORS

Mikio Ninomiya, Shinichi Takamoto, Yutaka Kotsuka, Toshiya Ohtsuka

ABSTRACT

Three patients with noncardiac Child A cirrhosis underwent cardiac surgery. All survived surgery, but 2 died during follow-up periods. A 61-year-old woman who underwent successful double valve replacement died of diabetic coma and severe acidosis due to intestinal necrosis 18 months later. A 57-year-old woman who underwent successful mitral valve replacement died of liver failure induced by heart failure 9 years later. A 45-year-old man who underwent coronary artery bypass grafting is doing well 18 months after discharge. Proper perioperative management, including high-flow cardiopulmonary bypass, pharmacological and mechanical circulatory support, and mechanical respiratory support prevented further, potentially lethal, hepatic dysfunction, leading to good early surgical results. We concluded that patients with Child A cirrhosis could tolerate cardiac surgery. Subsequent surgical results, however, were unsatisfactory, and more careful follow-up is necessary to obtain better late results. More... »

PAGES

391-394

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02913158

DOI

http://dx.doi.org/10.1007/bf02913158

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018156434

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11481846


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