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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Apr 18, 2015; 7(5): 753-760
Published online Apr 18, 2015. doi: 10.4254/wjh.v7.i5.753
Published online Apr 18, 2015. doi: 10.4254/wjh.v7.i5.753
Influence of cirrhosis in cardiac surgery outcomes
Juan C Lopez-Delgado, Francisco Esteve, Josep L Ventura, Rafael Mañez, Elisabet Farrero, Herminia Torrado, David Rodríguez-Castro, Maria L Carrio, Intensive Care Department, Hospital Universitari de Bellvitge, IDIBELL (Institut d’Investigació Biomèdica Bellvitge, Biomedical Investigation Institute of Bellvitge), 08907 Barcelona, Spain
Casimiro Javierre, Physiological Sciences II Department, Universitat de Barcelona, IDIBELL (Institut d’Investigació Biomèdica Bellvitge, Biomedical Investigation Institute of Bellvitge), 08907 Barcelona, Spain
Author contributions: Lopez-Delgado JC, Esteve F, Javierre C, Ventura JL and Mañez R wrote the paper; Farrero E, Torrado H, Rodríguez-Castro D and Carrio ML performed research; all authors approved the final version of the manuscript.
Conflict-of-interest: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Juan C Lopez-Delgado, Intensive Care Department, Hospital Universitari de Bellvitge, IDIBELL (Institut d’Investigació Biomèdica Bellvitge, Biomedical Investigation Institute of Bellvitge), C/Feixa Llarga s/n., L’Hospitalet de Llobregat, 08907 Barcelona, Spain. juancarloslopezde@hotmail.com
Telephone: +34-650-506985 Fax: +34-932-607963
Received: August 28, 2014
Peer-review started: August 29, 2014
First decision: October 14, 2014
Revised: November 10, 2014
Accepted: January 9, 2015
Article in press: January 12, 2015
Published online: April 18, 2015
Peer-review started: August 29, 2014
First decision: October 14, 2014
Revised: November 10, 2014
Accepted: January 9, 2015
Article in press: January 12, 2015
Published online: April 18, 2015
Core Tip
Core tip: Cardiovascular risk factors are the same for the development of cardiomyopathy and chronic liver disease. Despite cirrhosis is not a recognized risk factor within the risk scores for cardiac surgery, it is well known that its pathophysiological characteristics have the potential for a higher surgical risk and poor prognosis in the perioperative course. In addition, these types of patients are increasingly considered for cardiac surgery. Thus, there is a challenge in order to improve the outcome of these patients based on advances in procedures for cardiac surgeons and clinical perioperative management for physicians.