Liver transplantation in patients with atrial fibrillation

Transplant Proc. 2013 Jul-Aug;45(6):2302-6. doi: 10.1016/j.transproceed.2013.02.130.

Abstract

In this study we described survival and incidence of perioperative and postoperative complications in liver transplant recipients with known atrial fibrillation. A total number of 717 patients underwent liver transplantation between January 2005 and December 2008 at our institution. In this population, preoperative paroxysmal or chronic-persistent atrial fibrillation was diagnosed in 32 patients (4.5%). Of these, 12 patients died during follow-up and 4 patients required liver retransplantation. Perioperative cardiac complications occurred in 10 patients (31%) resulting in 3 cardiac-related deaths. Median patient survival was 1613 days (range, 22-2492) and median graft survival was 1524 days (range, 10-2492). Twenty patients are still alive with a median survival of 1861 days (range, 1189-2492) after liver transplantation.

MeSH terms

  • Adult
  • Aged
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / epidemiology*
  • Atrial Fibrillation / mortality
  • Chronic Disease
  • Female
  • Florida / epidemiology
  • Graft Survival
  • Humans
  • Incidence
  • Liver Diseases / diagnosis
  • Liver Diseases / mortality
  • Liver Diseases / surgery*
  • Liver Transplantation* / adverse effects
  • Liver Transplantation* / mortality
  • Male
  • Middle Aged
  • Retrospective Studies
  • Survival Analysis
  • Time Factors
  • Treatment Outcome