Open AccessCombined off pump coronary artery bypass graft and liver transplant
Author(s) -
Rajiv Juneja,
Ajay Kumar,
Rajeev Ranjan,
P M Hemantlal,
Yatin Mehta,
Harbans S. Wasir,
Vijay Vohra,
Naresh Trehan
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_194_19
Subject(s) - medicine , perioperative , surgery , atrial fibrillation , coronary artery disease , off pump coronary artery bypass , cardiopulmonary bypass , liver transplantation , coronary artery bypass surgery , cardiology , artery , cardiac surgery , anesthesia , transplantation , bypass grafting
Prospective recipients of liver transplant (LT) have a high prevalence rate of coronary artery disease (CAD) requiring revascularization. In patients of Child Turcot Pugh Class B and C performing LT prior to cardiac revascularization on cardiopulmonary bypass leads to a high risk of major adverse cardiovascular events (MACE). Whereas, isolated cardiac surgery prior to LT has perioperative risk of coagulopathy, sepsis, and hepatic decompensation. We present four cases of end stage liver disease who underwent concomitant living donor liver transplant (LDLT) with off pump coronary artery bypass graft (OPCAB) in an effort to decrease the morbidity and mortality.