Korean J Anesthesiol.  2009 Jul;57(1):108-112. 10.4097/kjae.2009.57.1.108.

Combined off-pump coronary artery bypass grafting and living donor liver transplantation: A case report

• Kim IH
• Kim GS
• Ko JS
• Lee SM

• KMID: 1782625
• DOI: http://doi.org/10.4097/kjae.2009.57.1.108

Abstract

We report a case of combined off-pump coronary artery bypass grafting (OPCAB) and living-donor liver transplantation (LDLT). Patient was admitted to undergo liver transplantation due to Child C cirrhosis secondary to hepatitis B infection, and incidentally, his preoperative cardiac evaluation revealed silent ischemia due to the two-vessel coronary artery disease (CAD). Patient underwent OPCAB followed by LDLT. There was no perioperative cardiovascular event during the days of hospitalization. From the successful anesthetic experience of a combined OPCAB and LDLT, we cautiously suggest that a combined OPCAB and LDLT could be a surgical treatment for the patients with end-stage liver disease (ESLD) and advanced CAD.

Keyword

Coronary artery disease; Liver transplantation; OPCAB

MeSH Terms

Child
Coronary Artery Bypass, Off-Pump
Coronary Artery Disease
Fibrosis
Hepatitis B
Hospitalization
Humans
Ischemia
Liver
Liver Diseases
Liver Transplantation
Living Donors
Transplants