title: Successful surgical treatment of cardiac cirrhosis. Tricuspid surgery and plasma exchange.
abstract: A patient with cardiac cirrhosis due to severe tricuspid regurgitation associated with a mitral valve lesion successfully underwent mitral and tricuspid valve replacement. Preoperative rest cure with liver supporting therapy for 5 months was used to maximize hepatic and cardiac function. Postoperatively, jaundice developed despite improvements in cardiac function. Plasma exchange was performed nine times over a period of 10 days with the liver function improved. He was discharged with New York Heart Association class I symptoms and normal liver function 2 months following surgery.
authors.affiliation: Department of Surgery Division II, Kobe University School of Medicine, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Toyoda
authors.forename: M
authors.initials: M
authors.lastname: Okada
authors.forename: T
authors.initials: T
authors.lastname: Sugimoto
authors.forename: M
authors.initials: M
authors.lastname: Yoshida
authors.forename: K
authors.initials: K
authors.lastname: Ataka
authors.forename: C
authors.initials: C
authors.lastname: Yamashita
mesh_terms: D006350:Heart Valve Prosthesis; D006801:Humans; D007565:Jaundice / Q000209:etiology / Q000628:therapy; D008103:Liver Cirrhosis / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery*; D010951:Plasma Exchange; D011183:Postoperative Complications / Q000628:therapy*; D014261:Tricuspid Valve; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000601:surgery*