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KMID : 0356920090570010108
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Korean Journal of Anesthesiology
2009 Volume.57 No. 1 p.108 ~ p.112
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Combined off-pump coronary artery bypass grafting and living donor liver transplantation - A case report -
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Kim In-Hoo
Lee Sang-Min
Ko Sang-Wook
Kim Gaab-Soo
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Abstract
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We report a case of combined off-pump coronary artery bypass grafting (OPCAB) and living-donor liver transplantation (LDLT). Patient was admitted to undergo liver transplantation due to Child C cirrhosis secondary to hepatitis B infection, and incidentally, his preoperative cardiac evaluation revealed silent ischemia due to the two-vessel coronary artery disease (CAD). Patient underwent OPCAB followed by LDLT. There was no perioperative cardiovascular event during the days of hospitalization. From the successful anesthetic experience of a combined OPCAB and LDLT, we cautiously suggest that a combined OPCAB and LDLT could be a surgical treatment for the patients with end-stage liver disease (ESLD) and advanced CAD.
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KEYWORD
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Coronary artery disease, Liver transplantation, OPCAB
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