Cardiac Surgery in Patients With Blood Disorders.
Nair, Devika Sreejith, Nayanika Bhambra, Amman Bruce, Jonathan Mellor, Sophie Brown, Louise J Harky, Amer
Nair, Devika
Sreejith, Nayanika
Bhambra, Amman
Bruce, Jonathan
Mellor, Sophie
Brown, Louise J
Harky, Amer
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Affiliation
University of Birmingham; University of Oxford; Sandwell and West Birmingham NHS Trust; North Cumbria Integrated Care NHS Foundation Trust; et al.
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Publication date
2021-10-20
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Abstract
Blood disorders that can contribute to abnormal bleeding can have a detrimental effect during cardiac surgery. Patients who are known to have such pathologies should be investigated thoroughly and cautious measures would need to be taken when cardiac surgery is needed in this cohort. The majority of current literature for cardiac surgery in patients with von Willebrand Disease and haemophilia are case reports. Nevertheless, evidence shows that optimising factor levels pre, intra and postoperatively offers outcomes similar to that of patients without these disorders. Preoperative screening followed by appropriate iron therapy reduces mortality for patients with anaemia. In this group, haemoglobin levels can be improved postoperatively through iron supplementation. The management strategy of cardiac surgery for people with blood disorders requires a multidisciplinary approach that is highly individualised for each patient. It is essential to adequately adjust preoperative, perioperative and postoperative care to the patient's blood disorder in order to achieve outcomes similar to that of patients without blood disorders.
Citation
Nair D, Sreejith N, Bhambra A, Bruce J, Mellor S, Brown LJ, Harky A. Cardiac Surgery in Patients With Blood Disorders. Heart Lung Circ. 2022 Feb;31(2):167-176. doi: 10.1016/j.hlc.2021.09.013.
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Article