Combined off-pump coronary artery bypass grafting and living donor liver transplantation: A case report.
10.4097/kjae.2009.57.1.108
- Author:
In Hoo KIM
1
;
Gaab Soo KIM
;
Justin Sangwook KO
;
Sangmin Maria LEE
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:
Coronary artery disease;
Liver transplantation;
OPCAB
- MeSH:
Child;
Coronary Artery Bypass, Off-Pump;
Coronary Artery Disease;
Fibrosis;
Hepatitis B;
Hospitalization;
Humans;
Ischemia;
Liver;
Liver Diseases;
Liver Transplantation;
Living Donors;
Transplants
- From:Korean Journal of Anesthesiology
2009;57(1):108-112
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of combined off-pump coronary artery bypass grafting (OPCAB) and living-donor liver transplantation (LDLT). Patient was admitted to undergo liver transplantation due to Child C cirrhosis secondary to hepatitis B infection, and incidentally, his preoperative cardiac evaluation revealed silent ischemia due to the two-vessel coronary artery disease (CAD). Patient underwent OPCAB followed by LDLT. There was no perioperative cardiovascular event during the days of hospitalization. From the successful anesthetic experience of a combined OPCAB and LDLT, we cautiously suggest that a combined OPCAB and LDLT could be a surgical treatment for the patients with end-stage liver disease (ESLD) and advanced CAD.
