Combined simultaneous heart and liver transplantation with complete cardiopulmonary bypass support.
Despite its initial description more than 20 years ago, combined orthotopic heart and liver transplantation is still performed infrequently. We report a 53-year-old man with familial hypertrophic restrictive cardiomyopathy who presented with right heart failure and end-stage liver failure and required combined orthotopic heart and liver transplantation. Rather then using a staged approach, the surgery was performed using a technique of simultaneous implantation supported by cardiopulmonary bypass. The relative merits of using a simultaneous approach are discussed. The patient had an uneventful postoperative course and went home on postoperative day 14.
Bernier
Pierre-Luc
PL
Division of Cardiothoracic Surgery, McGill University Health Center, Montréal, Québec, Canada.
Grenon
Marlene
M
Ergina
Patrick
P
Schricker
Thomas
T
Chaudhury
Prosanto
P
Metrakos
Peter
P
Lachapelle
Kevin
K
D002315:Cardiopulmonary Bypass; D005500:Follow-Up Studies; D006085:Graft Survival; D006333:Heart Failure / Q000175:diagnosis / Q000601:surgery*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D017093:Liver Failure / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome