Category: Cardiac Cachexia

Surgical Treatment of Patients With Cardiac Cachexia: Appendix

The second purpose of preoperative nutritional support is an earlier resumption of postoperative IVH. Anthropometric studies have revealed that body protein composition is catabolized when glucose is relatively depleted. Even though oral intake could be started in the early stages after cardiac surgery, inadequate oral intake may last for a long time afterwards, causing poor […]

Surgical Treatment of Patients With Cardiac Cachexia: Conclusion

In our series, left atrial plication was performed in six patients. At follow-up, left atrial plication was found to be useful for decreasing of the cardiotho-racic ratio as determined on chest radiographs. However, operative mortality was still high even with plication. The three deaths in the six patients with left atrial plication were in patients […]

Surgical Treatment of Patients With Cardiac Cachexia: Discussion

In spite of the recent improvement in operative results in open heart surgery, operative mortality in patients with cardiac cachexia is still high. Various risk factors affecting operative mortality have been reported in patients with cardiac cachexia associated with mitral valve disease. Many authors have reported that tricuspid regurgitation associated with mitral valve disease significantly […]

Surgical Treatment of Patients With Cardiac Cachexia: Results

Operative Mortality Overall operative mortality was 28 percent (7/25 patients), but it differed according to certain risk factors. The factors affecting operative mortality are summarized in Table 4. Preoperative advanced age, female sex, advanced tricuspid regurgitation, preoperative renal failure (serum urea nitrogen >30 mg/ dl), and preoperative hepatic failure (ascites, serum total bilirubin >2.5 mg/dl) […]

Surgical Treatment of Patients With Cardiac Cachexia: Statistical Analysis

Preoperative Nutritional Support Nutritional support by intravenous hyperalimentation (IVH) has been conducted in patients to improve nutritional status. Food intake was allowed in all patients, but we have never experienced the use of formulations of total parenteral nutrition because oral intake was always inadequate due to dyspnea and early satiety. When patients’ conditions were controlled […]

Surgical Treatment of Patients With Cardiac Cachexia: Methods

Despite the development of a surgical procedure and postoperative management, the operative mortality in patients with cardiac cachexia associated with advanced mitral valve disease remains high. Many authors have evaluated the risk factors affecting outcome and advocated strategies for patients with cardiac cachexia. The purpose of this retrospective study was to investigate the risk factors […]