Management of an abdominal aortic aneurysm in a patient with end-stage liver disease.
Concomitant abdominal aortic aneurysms and cirrhosis that need surgical attention are rare. Currently there are no guidelines with regards to the appropriate timing of the repair of these aneurysms and transplantation. In addition it also raises the issue of which procedure takes precedence. With the advent of endovascular repairs, this issue was resolved with relative ease, by doing the orthotopic liver transplantation (OLT) first and subsequent endovascular stenting on post-operative day 7 during the same hospitalization. This is the first case report of stenting an abdominal aortic aneurysm (AAA) in a liver transplant recipient. The rationale for the OLT and then AAA repair are discussed and formal guidelines are offered.
Hall
Jill
J
The Division of Hepatobiliary/Pancreatic Surgery, University of Southern California University Hospital, Los Angeles, CA 90033, USA.
Singh
Gagandeep
G
Hood
Douglas
D
Mateo
Rodrigo
R
Weaver
Fred
F
Selby
Rick
R
Genyk
Yuri
Y
Jabbour
Nicolas
N
D017544:Aortic Aneurysm, Abdominal / Q000473:pathology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014656:Vascular Surgical Procedures