Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 571-576, 2017.
Article
in En
| WPRIM
| ID: wpr-166094
Responsible library:
WPRO
ABSTRACT
Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient presented with severe cardiac dysfunction requiring extracorporeal membrane oxygenation (ECMO) support and secondary congestive hepatopathy. The patient underwent consecutive heart and liver transplantation using extracorporeal circulatory devices—heart transplant with cardiopulmonary bypass, and liver transplant with peripheral ECMO. In this case report, we focus on the specific anesthetic considerations for CHLT pertaining to the challenges associated with dual pathophysiology.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Cardiopulmonary Bypass
/
Extracorporeal Membrane Oxygenation
/
Liver Transplantation
/
Liver Failure
/
Estrogens, Conjugated (USP)
/
Heart
/
Korea
/
Liver
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Korean Journal of Anesthesiology
Year:
2017
Document type:
Article