Open AccessPerioperative anesthetic management of a combined right atrial thrombectomy with living donor liver transplantation
Author(s) -
Rajkumar Subramanian,
Sukhbir Singh,
Subhash Gupta,
Sanjoy Majhi,
Rajneesh Malhotra
Publication year - 2019
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_180_18
Subject(s) - medicine , perioperative , liver transplantation , hepatocellular carcinoma , living donor liver transplantation , thrombus , transplantation , surgery , anesthesia , cardiology
Hepatocellular carcinoma (HCC) with vascular invasion is usually considered inoperable. We describe a case of HCC with vascular invasion and right atrial thrombus that was successfully down staged. Patient underwent combined right atrial thrombectomy and living donor liver transplantation (LDLT) in the same setting. Perioperative anesthesia management and perioperative concerns of two major combined procedures are discussed.