title: Combined coronary bypass and liver transplantation: technical considerations.
abstract: Combined coronary artery bypass grafting and orthotopic liver transplantation was carried out successfully in a 58-year-old man with angina pectoris and end-stage liver disease. To date, only 2 similar cases have been documented worldwide whereby the transplantation was performed either during cardiopulmonary bypass or with femoral-to-axillary venovenous bypass initiated at the termination of cardiopulmonary bypass. In this report we describe our experience with a simplified one-exposure approach for the combined operation using cardiopulmonary bypass in tandem with percutaneous femoral-to-right atrial venovenous bypass.
authors.affiliation: Department of Anesthesiology, University of Illinois at Chicago, 60612, USA.
authors.forename: M G
authors.initials: MG
authors.lastname: Massad
authors.forename: E
authors.initials: E
authors.lastname: Benedetti
authors.forename: R
authors.initials: R
authors.lastname: Pollak
authors.forename: Y G
authors.initials: YG
authors.lastname: Chami
authors.forename: B S
authors.initials: BS
authors.lastname: Allen
authors.forename: M A
authors.initials: MA
authors.lastname: DeCastro
authors.forename: T
authors.initials: T
authors.lastname: Wiley
authors.forename: T J
authors.initials: TJ
authors.lastname: Layden
mesh_terms: D000787:Angina Pectoris / Q000601:surgery*; D001367:Axillary Vein; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D005112:Extracorporeal Circulation; D005268:Femoral Vein; D005500:Follow-Up Studies; D006440:Hemofiltration; D006801:Humans; D007036:Hypothermia, Induced; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D010107:Oxygenators, Membrane