title: Perioperative management of liver transplantation with concurrent coronary artery disease: Report of two cases.
abstract: Coronary artery disease (CAD), even if asymptomatic, has been known to complicate the perioperative management of patients undergoing liver transplantation. Perioperative outcome for such patients is worse than those without CAD despite improvement in risk stratification and management of CAD. We hereby report the successful perioperative management of two patients with CAD undergoing living-related liver transplantation. Maintaining systemic vascular resistance, goal-directed volume administration and surgical technique avoiding total clamping of IVC was the mainstay of stable intraoperative course. Moreover, a lower model for end stage liver disease (MELD) score at the time of liver transplant may also have been contributory to successful outcome in our patients.
authors.affiliation: Department of Anaesthesia and Pain Medicine, Liver Transplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Uttar Pradesh, India.
authors.forename: Piyush
authors.initials: P
authors.lastname: Srivastava
authors.affiliation: Department of Anaesthesia and Pain Medicine, Liver Transplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Uttar Pradesh, India.
authors.forename: Lalit
authors.initials: L
authors.lastname: Sehgal
authors.affiliation: Department of Anaesthesia and Pain Medicine, Liver Transplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Uttar Pradesh, India.
authors.forename: Nalin
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Department of Anaesthesia and Pain Medicine, Liver Transplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Uttar Pradesh, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: Department of Liver Transplant and GI Surgery, Fortis Hospital, Noida, Uttar Pradesh, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Vij
keywords: Coronary artery disease; liver transplantation; post reperfusion syndrome