Preoperative Evaluation and Perioperative Complications in Patients with Cancer and Ventricular Dysfunction

During cancer treatment, surgery may be indicated for patients with diverse purposes, such as diagnosis, staging, oncologic cure, palliative treatment, support, or restorative treatment. Oncologic surgery may be conducted as an initial cancer treatment or after conducting treatments such as chemotherapy or radiotherapy, thus underscoring the cardiotoxic potential of different cancer therapies.

In patients undergoing non-cardiac surgeries, the prevalence of comorbidities, the clinical condition before surgery, and factors inherent to the surgical procedure, such as urgency, magnitude, type, and duration, in addition to local experience, infrastructure, and the surgical team contribute to the risk of perioperative complications. In oncologic surgery, risk factors include the type and stage of the tumor and concomitant cancer therapies.

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