Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report

Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient pr...

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Main Authors: Hyejin Park, Jungchan Park, Jonghwan Lee, Gaabsoo Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2017-10-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-70-571.pdf
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author Hyejin Park
Jungchan Park
Jonghwan Lee
Gaabsoo Kim
author_facet Hyejin Park
Jungchan Park
Jonghwan Lee
Gaabsoo Kim
author_sort Hyejin Park
collection DOAJ
description Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient presented with severe cardiac dysfunction requiring extracorporeal membrane oxygenation (ECMO) support and secondary congestive hepatopathy. The patient underwent consecutive heart and liver transplantation using extracorporeal circulatory devices—heart transplant with cardiopulmonary bypass, and liver transplant with peripheral ECMO. In this case report, we focus on the specific anesthetic considerations for CHLT pertaining to the challenges associated with dual pathophysiology.
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spelling doaj.art-ffb52be3adf74e78a78c024b09bd18322022-12-21T20:16:56ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632017-10-0170557157610.4097/kjae.2017.70.5.5718349Anesthetic management during the first combined heart-liver transplant performed in Korea: a case reportHyejin Park0Jungchan Park1Jonghwan Lee2Gaabsoo Kim3Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient presented with severe cardiac dysfunction requiring extracorporeal membrane oxygenation (ECMO) support and secondary congestive hepatopathy. The patient underwent consecutive heart and liver transplantation using extracorporeal circulatory devices—heart transplant with cardiopulmonary bypass, and liver transplant with peripheral ECMO. In this case report, we focus on the specific anesthetic considerations for CHLT pertaining to the challenges associated with dual pathophysiology.http://ekja.org/upload/pdf/kjae-70-571.pdfcardiac cirrhosiscombined heart-liver transplantation
spellingShingle Hyejin Park
Jungchan Park
Jonghwan Lee
Gaabsoo Kim
Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
Korean Journal of Anesthesiology
cardiac cirrhosis
combined heart-liver transplantation
title Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
title_full Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
title_fullStr Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
title_full_unstemmed Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
title_short Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report
title_sort anesthetic management during the first combined heart liver transplant performed in korea a case report
topic cardiac cirrhosis
combined heart-liver transplantation
url http://ekja.org/upload/pdf/kjae-70-571.pdf
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AT jungchanpark anestheticmanagementduringthefirstcombinedheartlivertransplantperformedinkoreaacasereport
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AT gaabsookim anestheticmanagementduringthefirstcombinedheartlivertransplantperformedinkoreaacasereport