Combined coronary bypass and liver transplantation: technical considerations

Ann Thorac Surg. 1998 Apr;65(4):1130-2. doi: 10.1016/s0003-4975(98)00033-2.

Abstract

Combined coronary artery bypass grafting and orthotopic liver transplantation was carried out successfully in a 58-year-old man with angina pectoris and end-stage liver disease. To date, only 2 similar cases have been documented worldwide whereby the transplantation was performed either during cardiopulmonary bypass or with femoral-to-axillary venovenous bypass initiated at the termination of cardiopulmonary bypass. In this report we describe our experience with a simplified one-exposure approach for the combined operation using cardiopulmonary bypass in tandem with percutaneous femoral-to-right atrial venovenous bypass.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Angina Pectoris / surgery*
  • Axillary Vein
  • Cardiopulmonary Bypass
  • Coronary Artery Bypass*
  • Extracorporeal Circulation
  • Femoral Vein
  • Follow-Up Studies
  • Hemofiltration
  • Humans
  • Hypothermia, Induced
  • Liver Failure / surgery*
  • Liver Transplantation*
  • Male
  • Middle Aged
  • Oxygenators, Membrane