Is the presence of surgically treatable coronary artery disease a contraindication to liver transplantation?

被引:19
作者
Benedetti, E [1 ]
Massad, MG [1 ]
Chami, Y [1 ]
Wiley, T [1 ]
Layden, TJ [1 ]
机构
[1] Univ Illinois, Div Transplantat MC 958, Chicago, IL 60612 USA
关键词
angina; coronary artery bypass; liver transplantation;
D O I
10.1034/j.1399-0012.1999.t01-1-130109.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Advanced coronary artery disease has been traditionally considered an absolute contraindication to orthotopic liver transplantation where chronic liver failure significantly increases the surgical risk for coronary artery bypass grafting. Performing a simultaneous coronary artery bypass grafting and liver transplant is a theoretically attractive strategy in liver transplant candidates with coronary artery disease in need of revascularization. In the present article, we report a successful simultaneous coronary artery bypass grafting and orthotopic liver transplant with 1-yr post-operative follow-up and we discuss the rationale for this approach. In selected cases, the presence of advanced coronary artery disease should not be considered an absolute contraindication to liver transplantation.
引用
收藏
页码:59 / 61
页数:3
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