Cardiac surgery in patients with systemic lupus erythematosus

Cheng Hsin Lin, Meng L. Lee, Ron B. Hsu

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)618-621
Number of pages4
JournalInteractive Cardiovascular and Thoracic Surgery
Volume4
Issue number6
DOIs
Publication statusPublished - Dec 1 2005
Externally publishedYes

Keywords

  • CABG
  • Cardiac surgical procedures
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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