Off-pump coronary artery bypass grafting in a patient with Child class C liver cirrhosis awaiting liver transplantation.
We report the case of a Child class C cirrhotic patient who was diagnosed with coronary artery disease in the course of his pretransplantation evaluation. He underwent off-pump coronary artery bypass grafting (OPCAB), which was complicated with acute renal failure. The morbidity and mortality associated with cardiac operation in patients with cirrhosis is discussed, and the potential advantage of OPCAB in this patient population is emphasized.
Ben Ari
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A
Department of Anaesthesiology and Critical Care Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Elinav
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E
Elami
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Matot
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I
D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome