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Asia’s first combined liver transplant and aortic valve replacement |
Chung Yeung Cheung a, Kenneth S.H. Chok b,∗, Oswald J. Lee c, Kevin S. Lo d, See Ching Chan b, Chung Mau Lo b |
a Department of Surgery, Queen Mary Hospital, 102 Pok Fu Lam Road, Hong Kong, China
b Department of Surgery, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China
State Key Laboratory for Liver Research, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China
c Department of Cardiothoracic Surgery, Queen Mary Hospital, 102 Pok Fu Lam Road, Hong Kong, China
d Department of Anesthesiology, Queen Mary Hospital, 102 Pok Fu Lam Road, Hong Kong, China
∗Corresponding author at: Department of Surgery, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.
E-mail address: chok6275@hku.hk (K.S.H. Chok) |
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Abstract To the editor:
Liver transplantation is the only cure for patients with endstage liver disease. It is however an ultra-major surgery which is physiologically challenging to the cardiopulmonary function of the patients. Hence, in patients who also have valvular heart disease or coronary artery disease, liver transplantation would be considered to be contraindicated unless their cardiac problems could be corrected. On the other hand, coagulopathy and the risk of postoperative liver decompensation associated with end-stage liver disease would render the patients unsuitable for corrective valve repair or coronary artery bypass graft surgery. In the literature, there are only a small number of cases of combined liver transplantation and cardiac surgery.
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