Combined coronary bypass and liver transplantation: technical considerations.
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.
Massad
M G
MG
Department of Anesthesiology, University of Illinois at Chicago, 60612, USA.
Benedetti
E
E
Pollak
R
R
Chami
Y G
YG
Allen
B S
BS
DeCastro
M A
MA
Wiley
T
T
Layden
T J
TJ
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