Minimally invasive aortic valve replacement with orthotopic liver transplantation: report of a case

Cardiac surgery and liver transplantation (LT) are rarely performed at the same time, because of the potential risks of coupling two such complex surgical procedures [ 1 – 3 ]. This combined surgery is typically reserved for patients with structural heart disease, including multivessel obstructive c...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2014-03, Vol.44 (3), p.546-549
Main Authors: Harrison, Jonathan D., Selzman, Craig H., Thiesset, Heather F., Box, Terry, Hutson, William R., Lu, Jeffrey K., Campsen, Jeffrey, Sorensen, John B., Kim, Robin D.
Format: Article
Language:English
Subjects:
Aortic Valve - surgery
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - surgery
Case Report
End Stage Liver Disease - etiology
End Stage Liver Disease - surgery
Heart Valve Prosthesis Implantation - methods
Hepatitis C, Chronic - complications
Humans
Liver Transplantation
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgical Procedures - methods
Surgery
Surgical Oncology
Treatment Outcome
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Summary:Cardiac surgery and liver transplantation (LT) are rarely performed at the same time, because of the potential risks of coupling two such complex surgical procedures [ 1 – 3 ]. This combined surgery is typically reserved for patients with structural heart disease, including multivessel obstructive coronary artery disease and severe valvular disease with heart failure and end-stage liver disease, in whom the untreated organ may decompensate if only one organ is addressed [ 4 ]. Combined aortic valve replacement (AVR) and LT is the rarest of such combined surgery, with only ten cases published previously. We present the first reported case of combined minimally invasive AVR and LT and review the literature on similar combined surgery.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-013-0559-8