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Sequential coronary artery bypass grafting and orthotopic liver transplantation: a case report
D M Manas1, D R Roberts, D W Heaviside
1Liver Unit, Freeman Hospital, Newcastle upon Tyne, UK.
Clinical Transplantation
|June 1, 1996
Insights
This study details a successful combined coronary artery bypass grafting and liver transplant in a patient with severe heart and liver disease. The patient recovered well, remaining asymptomatic with normal organ function three months post-operation.
Area of Science:
- Cardiology
- Hepatology
- Transplantation Surgery
Background:
- The patient presented with advanced ischemic heart disease and end-stage liver disease, necessitating complex surgical intervention.
- Combined procedures pose significant challenges due to the physiological demands of cardiopulmonary bypass and organ transplantation.
Observation:
- A 56-year-old male patient presented with rapidly progressive ischaemic heart disease and end-stage liver disease.
- The patient underwent a combined coronary artery bypass grafting and orthotopic liver transplantation procedure.
Findings:
- The combined surgery was performed successfully using cardiopulmonary bypass.
- Post-operatively, the patient remained asymptomatic with preserved liver function at three months.
Implications:
- This case demonstrates the feasibility and positive outcomes of combined cardiopulmonary bypass supported coronary artery bypass grafting and liver transplantation.
- Such combined procedures may offer a viable therapeutic option for select patients with combined end-stage heart and liver failure.
Abstract:
We report a case of combined coronary artery by-pass grafting and orthotopic liver transplantation on cardiopulmonary bypass, in a 56-yr-old man with rapidly progressive ischaemic heart disease and end-stage liver disease. Three months after surgery he is asymptomatic with normal liver function.