title: Combined heart-liver transplantation with extended cardiopulmonary bypass.
abstract: We report a case of combined heart and liver transplantation for familial amyloid polyneuropathy. This is the first such combined transplant performed in Asia, and differs from previously described cases, in that cardiopulmonary bypass was continued at partial flow during liver transplantation in our case. This was done in order to provide haemodynamic support to the cardiac graft and to protect it from the impending reperfusion insult that frequently accompanies liver transplantation. The utility of this management course is discussed, along with its actual and potential complications. We also describe the impact of a lung-protective ventilation strategy employed during cardiac transplantation.
authors: Department of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore 169608.
authors: A J
authors: AJ
authors: Marriott
authors: N C
authors: NC
authors: Hwang
authors: F O
authors: FO
authors: Lai
authors: C K
authors: CK
authors: Tan
authors: Y M
authors: YM
authors: Tan
authors: C H
authors: CH
authors: Lim
authors: S K
authors: SK
authors: Boey
authors: S M
authors: SM
authors: Tay
authors: P C
authors: PC
authors: Cheow
authors: Y P
authors: YP
authors: Lim
authors: T
authors: T
authors: Chan
authors: K
authors: K
authors: Loh
authors: B
authors: B
authors: Kwok
authors: A
authors: A
authors: Chung
authors: C
authors: C
authors: Sivathasan
mesh_terms: D028227:Amyloid Neuropathies, Familial / Q000628:therapy; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006333:Heart Failure / Q000628:therapy; D016027:Heart Transplantation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008099:Liver / Q000473:pathology / Q000601:surgery; D017093:Liver Failure / Q000628:therapy; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015424:Reperfusion; D016896:Treatment Outcome