title: Combined simultaneous heart and liver transplantation with complete cardiopulmonary bypass support.
abstract: 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.
authors: Division of Cardiothoracic Surgery, McGill University Health Center, Montréal, Québec, Canada.
authors: Pierre-Luc
authors: PL
authors: Bernier
authors: Marlene
authors: M
authors: Grenon
authors: Patrick
authors: P
authors: Ergina
authors: Thomas
authors: T
authors: Schricker
authors: Prosanto
authors: P
authors: Chaudhury
authors: Peter
authors: P
authors: Metrakos
authors: Kevin
authors: K
authors: Lachapelle
mesh_terms: 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