[Orthotopic liver transplantation following heart transplantation].
Heart transplantation was performed in a 24-year-old man suffering from dilated cardiomyopathy who was also infected with hepatitis B virus and had not yet seroconverted. Most likely due to the immunosuppression, the hepatitis exacerbated and soon led to hepatic dystrophy and precoma. In this phase of congruent rejection of the heart transplant, liver transplantation was performed. During the procedure the patient had stable circulatory parameters and a reduced cardiac output. The heart rate and cardiac output stabilized after release of the anastomosis of the hepatic vessels. The patient survived for 6 months and died at home with signs of a myocardial infarction.
Fritz
K W
KW
Zentrum Anasthesiologie, Abteilung I, Medizinische Hochschule Hannover.
Bunzendahl
H
H
Ringe
B
B
Gras
C
C
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000601:surgery; D016027:Heart Transplantation; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000601:surgery; D016031:Liver Transplantation; D008297:Male
Orthotope Lebertransplantation nach Herztransplantation.