[Coronary surgery in high risk patients].
Increasing longevity, better standard of care and new developments in different fields of knowledge as in cardiac medical therapy or interventional cardiology has lead to an increasing number of patients with complex coronary disease and severe comorbidity requiring cardiac surgery. Performing coronary bypass grafting surgery in very sick patients has become a daily challenge for anaesthesiologists and cardiac surgeons. Many of these patients are in risk for a catastrophic peri-operative course, with extensive use of medical resources, and deceiving results. Decision on when to operate a patient, choice of the appropriate operation and perioperative management are of critical importance. Risk calculation is a key stone in the decision process, it allows identify high risk patients, predict their outcome, choose the best therapy based on available evidence and of resources.
Vieira
Manuela
M
Serviço de Anestesia e Emergencia, Centro de Cirurgia Cardíaca, Centro Hospitalar de Vila Nova de Gaia, Espinho, EPE, Portugal.
D003324:Coronary Artery Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D012307:Risk Factors