Massad M G, Benedetti E, Pollak R, Chami Y G, Allen B S, DeCastro M A, Wiley T, Layden T J
Department of Anesthesiology, University of Illinois at Chicago, 60612, USA.
Ann Thorac Surg. 1998 Apr;65(4):1130-2. doi: 10.1016/s0003-4975(98)00033-2.
Combined coronary artery bypass grafting and orthotopic liver transplantation was carried out successfully in a 58-year-old man with angina pectoris and end-stage liver disease. To date, only 2 similar cases have been documented worldwide whereby the transplantation was performed either during cardiopulmonary bypass or with femoral-to-axillary venovenous bypass initiated at the termination of cardiopulmonary bypass. In this report we describe our experience with a simplified one-exposure approach for the combined operation using cardiopulmonary bypass in tandem with percutaneous femoral-to-right atrial venovenous bypass.
一名患有心绞痛和终末期肝病的58岁男性成功接受了冠状动脉搭桥术与原位肝移植联合手术。迄今为止，全球仅记录了2例类似病例，其中移植手术要么在体外循环期间进行，要么在体外循环结束时启动股-腋静脉-静脉旁路进行。在本报告中，我们描述了我们使用体外循环与经皮股-右心房静脉-静脉旁路串联进行联合手术的简化单暴露方法的经验。
