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在一位合并有抗磷脂综合征的慢性加急性肾衰竭的肝功能衰竭患者中,进行冠状动脉旁路移植术和肝/肾联合移植。

Combined coronary artery bypass graft and liver/kidney transplantation in a liver failure patient with acute on chronic kidney failure and antiphospholipid syndrome.

机构信息

Department of Medicine, Loma Linda University Medical Center, Loma Linda, California, USA.

Department of Transplant Surgery, Loma Linda University Health, Loma Linda, California, USA.

出版信息

Am J Transplant. 2022 Oct;22(10):2464-2466. doi: 10.1111/ajt.17067. Epub 2022 May 5.

Abstract

Coexisting coronary artery disease (CAD), end-stage liver disease (ESLD), renal failure, and hypercoagulable state poses a formidable clinical challenge. Here, we discuss the first known case of a patient with antiphospholipid syndrome (APLS), ESLD complicated by hepatorenal syndrome (HRS), and severe CAD who successfully underwent combined coronary artery bypass grafting (CABG) and simultaneous liver/kidney (SLK) transplant.

摘要

并存的冠状动脉疾病(CAD)、终末期肝病(ESLD)、肾衰竭和高凝状态带来了严峻的临床挑战。在这里,我们讨论了首例已知的抗磷脂综合征(APLS)、ESLD 合并肝肾综合征(HRS)和严重 CAD 患者的病例,该患者成功接受了冠状动脉旁路移植术(CABG)和同期肝/肾(SLK)移植。

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本文引用的文献

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World J Hepatol. 2015 Apr 18;7(5):753-60. doi: 10.4254/wjh.v7.i5.753.
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