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Operative Outcome of Cardiac Surgery in Patients with Liver Cirrhosis
http://hdl.handle.net/10069/18359
http://hdl.handle.net/10069/1835998a95865-a202-4684-bcd9-9e150a30c6d3
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
acta_53_1_15.pdf (735.2 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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| 公開日 | 2008-07-03 | |||||
| タイトル | ||||||
| タイトル | Operative Outcome of Cardiac Surgery in Patients with Liver Cirrhosis | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Cardiac surgery | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Liver cirrhosis | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Mortality and morbidity | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Child-Pugh classification | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
Yamane, Kentaro
× Yamane, Kentaro× Izumi, Kenta× Yamachika, Shiro× Hashizume, Koji× Tanigawa, Kazuyoshi× Miura, Takashi× Hashimoto, Wataru× Odate, Tomohiro× Nakaji, Shun× Eishi, Kiyoyuki |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Introduction: A retrospective study was performed to investigate the relationship between the severity of liver cirrhosis and the outcome of cardiac surgery. Methods and Results: Twenty-one patients with liver cirrhosis underwent cardiac surgery in our institution. According to the Child-Pugh classification, 13 patients were in class A, 7 in class B, and 1 in class C. Coronary artery bypass grafting was performed in 7 patients, surgery for valvular disease in 10 and other procedures in 4. Major postoperative complications occurred in 8%, 29%, and 100% for Child-Pugh class A, B, and C, respectively. Preoperative hemoglobin level was significantly lower in the patients with postoperative complications. None of 4 patients underwent coronary revascularization using off-pump procedure or mini-pump system experienced major complication. The operative mortality was 0%, 14%, and 0% for Child-Pugh class A, B, and C, respectively. Conclusions: Although the overall mortality rate in patients with liver cirrhosis was acceptable in our study, the incidence of severe complications, such as prolonged ventilation, mediastinitis and irreversible hepatic insufficiency was problematic in Child-Pugh class B and class C patients. Application of less invasive cardiac surgery, such as mini-pump system or off-pump procedure will improve the operative outcome in such patient group. | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 長崎大学学位論文 学位記番号:博（医）甲第1,272号学位授与年月日:平成20年7月16日 | |||||
| 書誌情報 |
Acta medica Nagasakiensia 巻 53, 号 1, p. 15-21, 発行日 2008-06 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00016055 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00508430 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 関係URI | ||||||
| 関連名称 | http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/53.15 | |||||
| 関係URI | ||||||
| 関連名称 | http://hdl.handle.net/10069/20685 | |||||
| sortkey | ||||||
| 値 | P00015-P00021 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Acta medica Nagasakiensia. 2008, 53(1), p.15-21 | |||||
