Living-donor liver transplantation following cardiopulmonary bypass: A case report.

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.

• Authors: Min Seok Oh, Jeong Min Sung, Hyo Jin Yeon, Hyung Jun Cho, Justin Sangwook Ko, Gaab Soo Kim, Hyunyoung Lim
• Journal: Medicine (Medicine (Baltimore)) Vol. 98 Issue 38 Pg. e17230 (Sep 2019) ISSN: 1536-5964 [Electronic] United States
• PMID: 31567986 (Publication Type: Case Reports, Journal Article)

Topics

• Carcinoma, Hepatocellular (surgery)
• Cardiopulmonary Bypass
• Female
• Humans
• Liver Neoplasms (surgery)
• Liver Transplantation (methods)
• Middle Aged