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Right arrow Minimally invasive surgery

Ann Thorac Surg 2004;78:1460-1462
© 2004 The Society of Thoracic Surgeons

Case report

OPCAB Surgery in a Cirrhotic Hepatocellular Carcinoma Patient Awaiting Liver Transplant

Cornelia Carr, FRCSa,*, Jatin Desai, FRCSa

a King's College Hospital, Denmark Hill, London, United Kingdom

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Carr, Department of Cardiothoracic Surgery, King's College Hospital, London SE5 9RS, UK
noahalkh{at}talk21.com

Cirrhosis was once thought of as an absolute contraindication to cardiac surgery with the risk of liver decompensation following the use of cardiopulmonary bypass. With the advent of off-pump coronary artery bypass grafting, the possibility of reducing the risk of decompensation may make this type of surgery suitable for patients who will eventually undergo orthotopic liver transplantation. We present the strategy used in a patient with multifocal hepatocellular carcinoma and cirrhosis who underwent coronary artery bypass grafts for unstable angina, in order to allow him to undergo liver transplantation at a future date.




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