Cardiac Surgery at the Time of Simultaneous Liver-Kidney Transplantation

James M. Tatum, Adrienne M. Quinn, Yuri S. Genyk, Linda S. Sher, Lea K. Matsuoka, Amy E. Hackman, Sophoclis P. Alexopoulos, Mark L. Barr, Michael E. Bowdish, Mark J. Cunningham

Abstract


Cardiac valve disease is often a contraindication to liver or simultaneous liver-kidney transplantation. The risk of heart surgery in these patients is extremely high, yet uncorrected valve disease jeopardizes transplantation outcomes. Two cases of combined aortic valve replacement at the time of simultaneous liver-kidney transplantation, with 2-month and 3-year postoperative follow-ups, are discussed. Both patients survived surgery and were discharged with good allograft and heart function. At last follow-up, neither experienced graft failure or valve dysfunction, although one patient did develop type 1B rejection of his kidney allograft. In appropriate cases, surgical correction of structural heart disease can be performed at the time of complex abdominal organ transplantation, accomplishing both otherwise contraindicated procedures.




J Curr Surg. 2016;6(1):37-40
doi: http://dx.doi.org/10.14740/jcs300w


Keywords


Simultaneous liver-kidney transplant; Cardiac surgery; Liver transplantation

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.currentsurgery.org   editorial contact: editor@currentsurgery.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.