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Farzan Filsoufi, MD, Sacha P. Salzberg, MD, Parwis B. Rahmanian, MD, Thomas D. Schiano, MD, Hussien Elsiesy, MD, Anthony Squire, MD, David H. Adams, MD

July 01, 2007 | Liver Transplantation

Liver cirrhosis is a major risk factor in general surgery. Few studies have reported on the outcome of cardiac surgery in these patients. Herein we report our recent experience in this high-risk patient population according to the Child-Turcotte-Pugh classification and Model for End-Stage Liver Disease (MELD) score. ... Our results suggest that cardiac surgery can be performed safely in patients with Child-Turcotte-Pugh class A and selected patients with class B. Operative mortality remains high in class C patients. Careful patient selection is critical in order to improve surgical outcome in patients with cirrhosis.

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