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Updated: Oct 8, 2025

Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
Cardiac considerations in liver transplantation
Vikram Sharma1, Cerise Kleb2, Chirag Sheth3
1Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH; Department of Cardiovascular Medicine, University of Iowa, Iowa City.
Liver transplant recipients face significant cardiovascular risks due to older age and liver disease effects. This review covers essential cardiac care before, during, and after liver transplantation.
Area of Science:
- Cardiology
- Hepatology
- Transplant Surgery
Background:
- Cardiovascular events significantly impact liver transplant outcomes.
- Liver transplant recipients are increasingly older with more cardiac comorbidities.
- Advanced liver disease causes circulatory changes complicating perioperative management.
Purpose of the Study:
- To review key cardiac considerations in liver transplant patients.
- To highlight preoperative, intraoperative, and postoperative cardiac management strategies.
Main Methods:
- Literature review of cardiac issues in liver transplantation.
Main Results:
- Older patient populations increase cardiac risk.
- Liver disease pathophysiology affects cardiovascular function.
- Comprehensive cardiac assessment is crucial.
Conclusions:
- Perioperative cardiac management is vital for successful liver transplantation.
- Addressing cardiac comorbidities improves patient outcomes.
- Multidisciplinary care optimizes care for liver transplant recipients.
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