Living-donor liver transplantation following cardiopulmonary bypass: A case report. Issue 38 (September 2019)

• Record Type: Journal Article
• Authors: Oh, Min Seok; Sung, Jeong Min; Yeon, Hyo Jin; Cho, Hyung Jun; Ko, Justin Sangwook; Kim, Gaab Soo; Lim, Hyunyoung
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 98:Issue 38(2019)
• Publication Date: 2019-09
• Subjects: cardiopulmonary bypass -- end-stage liver disease -- liver transplantation; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000017230
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: 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.