Emergency coronary revascularization in a liver transplant recipient

A liver transplant recipient in cardiogenic shock from an acute myocardial infarction and failed coronary angioplasty underwent successful emergency coronary artery bypass graft surgery. Our case is only the fourth documented report of a coronary artery bypass graft in a liver transplant patient and the first conducted on an emergency basis in a patient in cardiogenic shock. Preservation of both cardiac and liver function has been evident in all cases. Based on these findings, liver transplantation should not be a deterrent or contraindication to coronary artery bypass or cardiac surgery.