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Living-donor liver transplantation following cardiopulmonary bypass: A case report
Min Seok Oh1, Jeong Min Sung2, Hyo Jin Yeon2
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine.
Insights
Liver transplantation is a complex procedure, especially for patients with heart conditions. This case demonstrates successful liver transplantation following cardiopulmonary bypass, offering hope for similar complex cases.
Area of Science:
- Hepatobiliary surgery
- Cardiovascular surgery
- Transplant medicine
Background:
- Liver transplantation is a common treatment for liver cirrhosis and hepatocellular carcinoma.
- Co-existing heart disease presents significant challenges in liver transplantation.
- Hepatocellular carcinoma management often involves multiple treatment modalities.
Rationale:
Liver transplantation is an increasingly common treatment for patients with liver cirrhosis or hepatocellular carcinoma. Liver transplantation in patients with heart disease can pose a significant challenge to the transplant teams.
Patient Concerns:
A 46-year-old woman was diagnosed with hepatitis B virus-related hepatocellular carcinoma 3 years ago and had received 3 times transarterial chemoembolization.
Diagnoses:
The patient was diagnosed as end-stage liver disease due to hepatocellular carcinoma and was scheduled to undergo living-donor liver transplantation. The preoperative echocardiogram revealed mass in the right atrium and the inferior vena cava.
Interventions:
The patient underwent mass removal under cardiopulmonary bypass followed by liver transplantation.
Outcomes:
A month later, she was discharged without any complications.
Lessons:
There have only been a few reported cases of anesthetic liver transplantation after a cardiopulmonary bypass. The successful experience described in this case report suggests that some patients may be eligible to undergo a liver transplantation after a cardiopulmonary bypass.
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