Korean J Anesthesiol.  2009 May;56(5):578-582. 10.4097/kjae.2009.56.5.578.

Anesthetic experience of aortic valve replacement, tricuspid valvuloplasty and VSD closure in a patient with Child-Pugh class B liver cirrhosis : A case report

• Ahn YH
• Kim JY
• Lee SI
• Kim KT
• Choe WJ
• Park JS
• Kim JW

• KMID: 1782599
• DOI: http://doi.org/10.4097/kjae.2009.56.5.578

Abstract

Open heart surgery under cardiopulmonary bypass (CPB) in patients with liver cirrhosis is prone to the development of various complications associated with high mortality rates. According to recent studies, patients with advanced cirrhosis (Child-Pugh class B or C cirrhosis) have a significantly higher mortality rate (50-100%) after open heart surgery under CPB. We report the anesthetic management of cardiac surgery using CPB of 61-year-old man with aortic valve regurgitation, tricuspid regurgitation and ventricular septal defect (VSD) who had complicated by liver cirrhosis of Child-Pugh class B. The patient underwent successfully aortic valve replacement, tricuspid valvuloplasty and VSD closure. The use of tranexamic acid and transfusion of fresh whole blood appears to produce beneficial effects for outcome.

Keyword

Cardiopulmonary bypass; Fresh whole blood; Liver cirrhosis; Open heart surgery; Tranexamic acid

MeSH Terms

Aortic Valve
Cardiopulmonary Bypass
Fibrosis
Heart Septal Defects, Ventricular
Humans
Liver
Liver Cirrhosis
Middle Aged
Thoracic Surgery
Tranexamic Acid
Tricuspid Valve Insufficiency
Tranexamic Acid