ReviewWorld journal of hepatology2015
Influence of cirrhosis in cardiac surgery outcomes.
Review in World journal of hepatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of Transcatheter Mitral and Tricuspid Valve Repair on Hepatic Function and Outcomes in Patients with Cirrhosis or Advanced Liver Disease-A Personalized Approach.Journal of clinical medicine · 2026Review
- MELD score is predictive of postoperative morbidity and mortality in patients with acute appendicitis undergoing appendectomy: ACS-NSQIP data analysis.Surgical endoscopy · 2026Article
- Success: the synergy of off-pump coronary artery bypass and living donor liver transplantation-a two-case report.Frontiers in surgery · 2025Article
- Prognostic value of ascites in patients with liver cirrhosis undergoing cardiac surgery.Journal of cardiothoracic surgery · 2023Article
- The Effect of Liver Cirrhosis on Patients Undergoing Cardiac Surgery.Global heart · 2023Review
- Combined coronary artery bypass graft and liver/kidney transplantation in a liver failure patient with acute on chronic kidney failure and antiphospholipid syndrome.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- The importance of liver function assessment before cardiac surgery: A narrative review.Frontiers in surgery · 2022Review
- Does Preoperative MELD Score Predict Adverse Outcomes Following Pancreatic Resection: an ACS NSQIP Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- A review of the management of patients with advanced heart failure in the intensive care unit.Annals of translational medicine · 2020Review
- Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery.Current anesthesiology reports · 2020Article
- Forns Index is a predictor of cardiopulmonary bypass time and outcomes in Fontan conversion.Heart and vessels · 2020Article
- Adverse Outcomes in Obese Cardiac Surgery Patients Correlates With Altered Branched-Chain Amino Acid Catabolism in Adipose Tissue and Heart.Frontiers in endocrinology · 2020Article
- Outcomes of Patients With Cirrhosis Undergoing Orthopedic Procedures: An Analysis of the Nationwide Inpatient Sample.Journal of clinical gastroenterology · 2019Article
- Breast cancer recurrence after reoperation for surgical bleeding.The British journal of surgery · 2017Article
- Outcomes of abdominal surgery in patients with liver cirrhosis.World journal of gastroenterology · 2016Review
- Preoperative MELD score predicts mortality and adverse outcomes following radical cystectomy: analysis of American College of Surgeons National Surgical Quality Improvement Program.Therapeutic advances in urologyArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Liver cirrhosis has evolved an important risk factor for cardiac surgery due to the higher morbidity and mortality that these patients may suffer compared with general cardiac surgery population. The presence of contributing factors for a poor outcome, such as coagulopathy, a poor nutritional status, an adaptive immune dysfunction, a degree of cirrhotic cardiomyopathy, and a degree of renal and pulmonary dysfunction, have to be taken into account for surgical evaluation when cardiac surgery is needed, together with the degree of liver disease and its primary complications. The associated pathophysiological characteristics that liver cirrhosis represents have a great influence in the development of complications during cardiac surgery and the postoperative course. Despite the population of cirrhotic patients who are referred for cardiac surgery is small and recommendations come from small series, since liver cirrhotic patients have increased their chance of survival in the last 20 years due to the advances in their medical care, which includes liver transplantation, they have been increasingly considered for cardiac surgery. Indeed, there is an expected rise of cirrhotic patients within the cardiac surgical population due to the increasing rates of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis, especially in western countries. In consequence, a more specific approach is needed in the assessment of care of these patients if we want to improve their management. In this article, we review the pathophysiology and outcome prediction of cirrhotic patients who underwent cardiac surgery.
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