Titre
Bilan préopératoire pour la chirurgie cardio-vasculaire en urgence [Preoperative assessment in emergency cardiovascular surgery].
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Revue Médicale de la Suisse Romande
Auteur(s)
von Segesser, L.K.
Auteure/Auteur
Chassot, P.G.
Auteure/Auteur
Corno, A.
Auteure/Auteur
Bernath, M.
Auteure/Auteur
Tozzi, P.
Auteure/Auteur
Marty, B.
Auteure/Auteur
Ruchat, P.
Auteure/Auteur
Gersbach, P.
Auteure/Auteur
Pascual, M.
Auteure/Auteur
Fischer, A.
Auteure/Auteur
Hurni, M.
Auteure/Auteur
Stumpe, F.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0035-3655
Statut éditorial
Publié
Date de publication
2004
Volume
124
Numéro
7
Première page
395
Dernière page/numéro d’article
399
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
In the emergency situation, preoperative patient work-up for cardio-vascular surgery is quite different from the elective setting. We have analyzed a consecutive series of 5576 cases out of which 823 underwent emergency procedures (14.8%). The most frequent problems requiring emergent intervention were peripheral vascular (186 cases; 22.6% of the emergent procedure), followed by coronary artery disease (156 cases; 19.0%), thoracic aortic aneurysms (86 cases; 10.4%), abdominal aortic aneurysms (54 cases; 6.6%), congenital heart disease (36 cases: 4.4%), heart and heart lung transplantation (31 cases; 3.8%), problems with cardiac rythm (25 cases: 3.0%), and others (267 cases: 32.4%). Classification by proportion of urgent procedures with reference to elective operations shows a different picture. As a matter of fact transplantations were always emergency procedures (100%), whereas repair of aortic dissections type A and B was an emergency procedure in 81.5%. Emergency thoracic and abdominal aortic aneurysm repair accounted for 30% and 20% respectively and the corresponding proportion for peripheral vascular surgery is 19%. However, emergency surgery for acute coronary ischemia, valvular and congenital heart disease accounted for somewhat less than 10% for each group of these pathologies. Systematic pre-operative diagnostic work-up is a recognized tool for procedure related risk assessment and superior management of diseases. However, hemodynamic instability and other time related events correlated with negative outcome, are the main driving forces for accelerated diagnostic pathways
PID Serval
serval:BIB_8CDC0E820723
PMID
Date de création
2008-01-29T12:53:06.204Z
Date de création dans IRIS
2025-05-21T02:43:48Z