Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report.
10.4097/kjae.2017.70.5.571
- Author:
Hyejin PARK
1
;
Jungchan PARK
;
Jonghwan LEE
;
Gaabsoo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@skku.edu
- Publication Type:Case Report
- Keywords:
Cardiac cirrhosis;
Combined heart-liver transplantation
- MeSH:
Cardiopulmonary Bypass;
Estrogens, Conjugated (USP);
Extracorporeal Membrane Oxygenation;
Female;
Heart;
Humans;
Korea*;
Liver;
Liver Failure;
Liver Transplantation;
Middle Aged
- From:Korean Journal of Anesthesiology
2017;70(5):571-576
- CountryRepublic of Korea
- Language:English
-
Abstract:
Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient presented with severe cardiac dysfunction requiring extracorporeal membrane oxygenation (ECMO) support and secondary congestive hepatopathy. The patient underwent consecutive heart and liver transplantation using extracorporeal circulatory devices—heart transplant with cardiopulmonary bypass, and liver transplant with peripheral ECMO. In this case report, we focus on the specific anesthetic considerations for CHLT pertaining to the challenges associated with dual pathophysiology.
