Journal article
Cardiovascular Surgical Outcomes in Patients with the Antiphospholipid Syndrome—A Case-Series
Heart, lung & circulation, v 16(6), pp 423-427
Dec 2007
PMID: 17611152
Abstract
Patients with the antiphospholipid syndrome (APLS) have severe involvement of the cardiovascular apparatus and often need surgical interventions to correct these manifestations. Few studies that have looked at the outcomes of cardiothoracic surgeries in APLS patients have reported high rates of perioperative mortality and thromboembolic events.
Our goal was to examine the outcomes of adult APLS patients undergoing coronary artery bypass surgery (CABG) and/or valvular surgery. We also wanted to determine whether aggressive anticoagulation therapy could prevent life threatening thromboembolic complications in these patients.
We retrospectively reviewed medical records of nine patients with primary APLS undergoing cardiothoracic surgery between 1985 and 2005 at our institution. Patient demographics, operative procedures and one-year clinical outcomes were obtained.
Forty-five percent of our patients had more than three cardiovascular risk factors other than APLS. There were no mortalities in our case series. However, 89% of our patients developed major complications. Despite aggressive anticoagulation, 37.5% developed thromboembolic events including cerebrovascular accidents, myocardial infarctions and vena caval thrombosis. Other complications included heparin-induced thrombocytopenia, redo of CABG surgery and sepsis.
Despite aggressive anticoagulation and lack of significant pre-operative co-morbidities, APLS patients undergoing cardiothoracic surgery appear to have high rates of post-operative clinical events.
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41 citations in Scopus
Details
- Title
- Cardiovascular Surgical Outcomes in Patients with the Antiphospholipid Syndrome—A Case-Series
- Creators
- Vinayak Anant Padmanabh HegdeYoel Vivas - Western Pennsylvania HospitalHiren Shah - Western Pennsylvania HospitalDavid Haybron - Western Pennsylvania HospitalVenkatraman Srinivasan - Western Pennsylvania HospitalAshish Dua - Western Pennsylvania HospitalAlan Gradman - Western Pennsylvania Hospital
- Publication Details
- Heart, lung & circulation, v 16(6), pp 423-427
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Scopus ID
- 2-s2.0-36049027487
- Other Identifier
- 991021962293304721