Combined coronary bypass and liver transplantation: technical considerations.

Massad, M G; Benedetti, E; Pollak, R; Chami, Y G; Allen, B S; DeCastro, M A; Wiley, T; Layden, T J · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

Combined coronary artery bypass grafting and orthotopic liver transplantation was carried out successfully in a 58-year-old man with angina pectoris and end-stage liver disease. To date, only 2 similar cases have been documented worldwide whereby the transplantation was performed either during cardiopulmonary bypass or with femoral-to-axillary venovenous bypass initiated at the termination of cardiopulmonary bypass. In this report we describe our experience with a simplified one-exposure approach for the combined operation using cardiopulmonary bypass in tandem with percutaneous femoral-to-right atrial venovenous bypass.

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