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Cardiac surgery 

Cardiac surgery
Chapter:
Cardiac surgery
Author(s):

J Yap

DOI:
10.1093/med/9780199209101.003.14
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date: 07 August 2020

Risk assessment 196

Conduct of surgery 198

Emergency surgery 199

Myocardial preservation 200

Off-pump coronary artery bypass 203

Minimally invasive cardiac surgery (MICS) 204

Reoperative surgery 205

New techniques in surgery 206

Further reading 206

Increasingly, patients who present for cardiac surgery are elderly and have significant comorbidities. The ability to predict outcome for patients is a powerful tool for clinical and resources planning. Cardiac surgeons are increasingly asked to operate on sicker patients who previously may not have been considered suitable for surgery. However, recent experience suggests that the mortality outcome for the common cardiac operations has improved. The quality of postoperative care, especially in intensive care, may have offset the higher patient risk profile. It is important to assess individual patients’ comorbidities in order to stratify risk of operative morbidity and mortality, and facilitate more accurate informed consent....

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