Combined cardiac surgery and liver transplantation: three decades of worldwide results.
| Τίτλος | Combined cardiac surgery and liver transplantation: three decades of worldwide results. |
| Publication Type | Journal Article |
| Year of Publication | 2011 |
| Authors | Giakoustidis, A., Cherian T. P., Antoniadis N., & Giakoustidis D. |
| Journal | J Gastrointestin Liver Dis |
| Volume | 20 |
| Issue | 4 |
| Pagination | 415-21 |
| Date Published | 2011 Dec |
| ISSN | 1842-1121 |
| Λέξεις κλειδιά | Adolescent, Adult, Aged, Aortic Valve Stenosis, Cardiac Surgical Procedures, Cardiomyopathies, Child, Child, Preschool, Coronary Artery Bypass, Coronary Artery Disease, End Stage Liver Disease, Female, Heart Transplantation, Heart Valve Prosthesis Implantation, Humans, Liver Transplantation, Male, Middle Aged, Patient Selection, Risk Assessment, Risk Factors, Treatment Outcome, Young Adult |
| Abstract | BACKGROUND: Patients with end-stage-liver-disease (ESLD) require orthotopic liver transplantation (OLT) as treatment. However, cirrhotic cardiomyopathy can be clinically revealed during OLT, with the possible development of a transient overt congestive heart failure. A number of patients require a combined procedure of liver transplantation and heart surgery, which includes heart transplantation, aortic valve replacement or coronary artery bypass grafting. Indications for combined liver-heart transplantation include heart failure with associated cardiac cirrhosis, familial amyloidosis, familial hypercholesterolemia and hemochromatosis, and homozygous β-thalassemia. METHODS/RESULTS. We performed a thorough research of Pubmed/ Medline, gathering and discussing data concerning this clinical condition and its treatment.CONCLUSION: In patients with end-stage liver disease, who are unable to tolerate an OLT post-operatively due to cardiac dysfunction, combined cardiac surgery and OLT appears to have certain advantages. |
| Alternate Journal | J Gastrointestin Liver Dis |
| PubMed ID | 22187708 |
