一位处于Child C级肝硬化且等待肝移植的患者进行非体外循环冠状动脉旁路移植术。
Off-pump coronary artery bypass grafting in a patient with Child class C liver cirrhosis awaiting liver transplantation.
作者信息
Ben Ari A, Elinav E, Elami A, Matot I
机构信息
Department of Anaesthesiology and Critical Care Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
出版信息
Br J Anaesth. 2006 Oct;97(4):468-72. doi: 10.1093/bja/ael193. Epub 2006 Jul 27.
We report the case of a Child class C cirrhotic patient who was diagnosed with coronary artery disease in the course of his pretransplantation evaluation. He underwent off-pump coronary artery bypass grafting (OPCAB), which was complicated with acute renal failure. The morbidity and mortality associated with cardiac operation in patients with cirrhosis is discussed, and the potential advantage of OPCAB in this patient population is emphasized.
我们报告了一例C级儿童肝硬化患者，该患者在移植前评估过程中被诊断出患有冠状动脉疾病。他接受了非体外循环冠状动脉旁路移植术（OPCAB），术后并发急性肾衰竭。本文讨论了肝硬化患者心脏手术相关的发病率和死亡率，并强调了OPCAB在该患者群体中的潜在优势。
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