The role of cardiac surgery in radiation-associated heart disease: a scoping review.
Daniel ShellPublished in: General thoracic and cardiovascular surgery (2023)
Irradiated patients have heightened peri-operative risk, but other than redo surgery, these operations are not as treacherous as once thought. Involvement of all layers of the heart, especially the myocardium, is such that long-term mortality suffers despite optimal surgical correction. The goal of surgery in this cohort should be for a quick and safe operation, rather than a technically difficult procedure aimed at longevity.
Keyphrases
- minimally invasive
- cardiac surgery
- end stage renal disease
- coronary artery bypass
- ejection fraction
- chronic kidney disease
- newly diagnosed
- prognostic factors
- peritoneal dialysis
- acute kidney injury
- risk factors
- patient reported outcomes
- cardiovascular events
- radiation induced
- radiation therapy
- cardiovascular disease
- aortic valve replacement
- type diabetes
- solar cells