Cardiac surgery in patients with systemic lupus erythematosus
Journal
Interactive Cardiovascular and Thoracic Surgery
Journal Volume
4
Journal Issue
6
Pages
618-621
Date Issued
2005
Author(s)
Abstract
Cardiac surgery was infrequently performed in patients with systemic lupus erythematosus (SLE), and its clinical outcome was reported only in small series. We sought to evaluate the clinical outcome of cardiac operation in patients with SLE. Between January 1996 and March 2005, 9 patients with SLE underwent cardiac surgery at the authors' hospital. Six patients underwent coronary artery bypass grafting (three conventional and three on-pump beating heart), two patients underwent valve replacement and 1 patient underwent simultaneous heart-kidney transplantation. All 6 patients with coronary artery bypass grafting had saphenous venous grafts and two of them had additional left internal mammary artery graft. The overall in-hospital mortality rate was 11% (1/9). Major postoperative complications occurred in 4 patients (44%) including profuse postoperative bleeding, ventricular tachycardia and early graft thrombosis. There were two late deaths including sudden cardiac death and sepsis. The median follow-up duration was 23 months (range, 1-110). In conclusion, although the postoperative complication was common, cardiac operation could be performed in patients with SLE. ? 2005 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Subjects
CABG; Cardiac surgical procedures; Systemic lupus erythematosus
SDGs
Other Subjects
adolescent; adult; aged; article; bleeding; clinical article; coronary artery bypass graft; evaluation; female; follow up; heart death; heart muscle revascularization; heart surgery; heart transplantation; heart valve replacement; heart ventricle tachycardia; human; kidney transplantation; male; mortality; postoperative complication; priority journal; saphenous vein graft; sepsis; surgical patient; systemic lupus erythematosus; thrombosis; treatment outcome
Type
journal article