Combination of Modified Bentall Procedure and Orthotopic Liver Transplantation.

Case Rep Transplant

Cardiac Surgery, INCCI HaerzZenter, Luxembourg, Luxembourg.

Published: April 2018

AI Article Synopsis

  • Combined cardiac surgery and orthotopic liver transplantation is uncommon and poses high risks for patients, requiring tailored surgical strategies.
  • A case is presented involving a 45-year-old woman who received a modified Bentall procedure and liver transplant simultaneously due to severe underlying conditions.
  • To minimize the risks associated with prolonged bypass times, the surgical teams coordinated their efforts, specifically keeping the inferior vena cava ligated during the liver explantation.

Article Abstract

Indication for combined cardiac surgery and orthotopic liver transplantation is rare and patients are at high risks. Individual surgical strategy must be developed since a general standard of such procedure does not exist. We report the case of a 45-year-old woman who underwent simultaneously modified Bentall procedure and orthotopic liver transplantation. Underlying diseases were end-stage polycystic liver, aneurysm of the ascending aorta, and severe aortic regurgitation. To avoid prolonged bypass times, both teams worked simultaneously. During cardiac reperfusion, time inferior vena cava stayed ligated while the cyst liver was explanted.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932520PMC
http://dx.doi.org/10.1155/2018/6585879DOI Listing

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