Open AccessLiving-donor liver transplantation following cardiopulmonary bypass
Author(s) -
Min-Seok Oh,
Jeong Min Sung,
Hyo Jin Yeon,
Hyung Jun Cho,
Justin Sangwook Ko,
Gaab Soo Kim,
Hyun Ju Lim
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000017230
Subject(s) - medicine , hepatocellular carcinoma , liver transplantation , cardiopulmonary bypass , cirrhosis , transplantation , surgery , liver disease , inferior vena cava , hepatitis b
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.