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Ann Thorac Surg 1998;65:1130-1132
© 1998 The Society of Thoracic Surgeons

Case Reports

Combined Coronary Bypass and Liver Transplantation: Technical Considerations

Malek G. Massad, MDaa, Enrico Benedetti, MDaa, Raymond Pollak, MBaa, Youssef G. Chami, MDbb, Bradley S. Allen, MDaa, Maria A. DeCastro, MDdd, Thelma Wiley, MDcc, Thomas J. Layden, MDcc

a Division of Cardiothoracic and Transplantation Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
b Division of Cardiology, University of Illinois at Chicago, Chicago, Illinois, USA
c Division of Digestive and Liver Diseases, University of Illinois at Chicago, Chicago, Illinois, USA
d Department of Anesthesiology, University of Illinois at Chicago, Chicago, Illinois, USA

Accepted for publication October 29, 1997.

Address reprint requests to Dr Massad, Division of Cardiothoracic Surgery (M/C 958), University of Illinois at Chicago, 840 S Wood St, CSB Suite 417, Chicago, IL 60612

Combined coronary artery bypass grafting and orthotopic liver transplantation was carried out successfully in a 58-year-old man with angina pectoris and end-stage liver disease. To date, only 2 similar cases have been documented worldwide whereby the transplantation was performed either during cardiopulmonary bypass or with femoral-to-axillary venovenous bypass initiated at the termination of cardiopulmonary bypass. In this report we describe our experience with a simplified one-exposure approach for the combined operation using cardiopulmonary bypass in tandem with percutaneous femoral-to-right atrial venovenous bypass.




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Outcomes of Simultaneous Liver Transplantation and Elective Cardiac Surgical Procedures
Ann. Thorac. Surg., November 1, 2011; 92(5): 1580 - 1584.
[Abstract] [Full Text] [PDF]


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