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Management of an Abdominal Aortic Aneurysm
in a Patient with End‐Stage Liver Disease
Author(s) -
Hall Jill,
Singh Gagandeep,
Hood Douglas,
Mateo Rodrigo,
Weaver Fred,
Selby Rick,
Genyk Yuri,
Jabbour Nicolas
Publication year - 2004
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2004.00362.x
Subject(s) - medicine , abdominal aortic aneurysm , concomitant , liver transplantation , surgery , cirrhosis , aortic aneurysm , stage (stratigraphy) , transplantation , aneurysm , radiology , paleontology , biology
Concomitant abdominal aortic aneurysms and cirrhosis that need surgical attention are rare. Currently there are no guidelines with regards to the appropriate timing of the repair of these aneurysms and transplantation. In addition it also raises the issue of which procedure takes precedence. With the advent of endovascular repairs, this issue was resolved with relative ease, by doing the orthotopic liver transplantation (OLT) first and subsequent endovascular stenting on post‐operative day 7 during the same hospitalization. This is the first case report of stenting an abdominal aortic aneurysm (AAA) in a liver transplant recipient. The rationale for the OLT and then AAA repair are discussed and formal guidelines are offered.