Thesis (M.Sc.) - Cairo University - Faculty Of Medicine - Department Of General Surgery

Many cardiac patients (valvular , post CABG , patients after repair of congenital heart disease) are candidate for non - cardiac surgeryTherefore , it is not surprising that cardiac complications occur when these patients are subjected to stress during the 3 to 4 - day perioperative periodPreoperative risk stratification depends not only on patient characteristics but also on the proposed surgerySome operations are more dangerous than others , with risks related to the following 2 important factors : the type of surgery and the degree of hemodynamic stress associated with surgery - specific proceduresThe most common indications for long - term oral anticoagulation with warfarin are venous thromboembolism , mechanical cardiac valves and atrial fibrillationWhen patients with these conditions need surgery , the perioperative management of their warfarin therapy poses a major problem

Issued also as CD