Combined cardiac surgery and liver transplantation.
During evaluation for liver transplantation, a 63-year-old man with cirrhosis secondary to hepatitis C was diagnosed with severe aortic stenosis (aortic valve area, 0.87 cm(2)) and coronary artery disease. A combined procedure involving aortic valve replacement (pericardial xenograft), coronary artery bypass surgery, and orthotopic liver transplantation was performed. Convalescence was uneventful, and at 2 years after the procedure, the patient has normal cardiac function, good prosthetic valve function, and biochemically normal liver function.
Eckhoff
D E
DE
Department of Surgery, Division of Transplant Immunobiology and Transplant Center, University of Alabama, Birmingham, USA. devin.eckhoff@ccc.uab.edu
Frenette
L
L
Sellers
M T
MT
McGuire
B M
BM
Contreras
J L
JL
Bynon
J S
JS
McGiffin
D C
DC
D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006526:Hepatitis C / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome