Combined liver transplantation and off-pump coronary artery bypass grafting: A report of two cases

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dc.authorid0000-0003-3917-8183
dc.authorid0000-0002-8351-4220
dc.authorid0000-0001-9919-8392
dc.authorid0000-0002-5273-1871
dc.authorid0000-0002-4281-0867
dc.authorid0000-0002-1240-7233
dc.contributor.authorUludağ Yanaral, Tümay
dc.contributor.authorErtuğrul, Gökhan
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorKaraaslan, Pelin
dc.contributor.authorKaraca, İbrahim Oğuz
dc.contributor.authorDayangaç, Murat
dc.date.accessioned2022-12-19T13:13:15Z
dc.date.available2022-12-19T13:13:15Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractIntroduction: Liver transplantation (LT) is the most effective treatment modality in patients with end-stage liver disease (ESLD). With the increased prevalence of diabetes and non-alcoholic fatty liver disease (NAFLD), coupled with a steady increase in the age of transplant population, liver transplant candidates are at increased risk for coronary artery disease (CAD). Improvements in anesthesia, surgical experiences, and increased effectiveness of drugs have facilitated concurrent surgical interventions in transplantation, allowing for orthotopic LT to be performed in elderly patients with a high incidence of coexisting diseases, especially those of the cardiovascular system. In this study, we present two cases of combined off-pump coronary artery bypass surgery and living donor liver transplantation. Case presentation: A 68-year-old male patient with ESLD due to chronic hepatitis C infection and multi-vessel CAD, and a 65-year-old female patient with NAFLD cirrhosis and multi-vessel CAD were referred to our institution for an LT evaluation. We performed combined living donor LT and off-pump coronary artery bypass surgery in both patients. Both the first and second patients were alive with good liver and cardiac function at the 25 and 15 months after surgery, respectively. Conclusion: Combined off-pump coronary artery bypass surgery and living donor LT are an alternative treatment for patients with severe CAD and ESLD. We consider that combined coronary artery bypass graft surgery and LT can be safely performed by experienced anesthesia and surgical teams in selected patients.
dc.identifier.citationUludağ Yanaral, T., Ertuğrul, G., Ulukan, M. Ö., Karaaslan, P., Karaca, İ. O. ve Dayangaç, M. (2022). Combined liver transplantation and off-pump coronary artery bypass grafting: A report of two cases. Acta Chirurgica Belgica, 122(4), 269-274. https://doi.org/10.1080/00015458.2020.1857570
dc.identifier.doi10.1080/00015458.2020.1857570
dc.identifier.endpage274
dc.identifier.issn0001-5458
dc.identifier.issue4
dc.identifier.pmid33251981
dc.identifier.scopus2-s2.0-85097179306
dc.identifier.scopusqualityQ3
dc.identifier.startpage269
dc.identifier.urihttps://doi.org/10.1080/00015458.2020.1857570
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10150
dc.identifier.volume122
dc.identifier.wos000596742200001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUludağ Yanaral, Tümay
dc.institutionauthorErtuğrul, Gökhan
dc.institutionauthorUlukan, Mustafa Özer
dc.institutionauthorKaraaslan, Pelin
dc.institutionauthorKaraca, İbrahim Oğuz
dc.institutionauthorDayangaç, Murat
dc.language.isoen
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofActa Chirurgica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAnesthesia
dc.subjectCoronary Arterybypass
dc.subjectCoronary Arterydisease
dc.subjectEnd Stage Liverdisease
dc.subjectLivertransplantation
dc.titleCombined liver transplantation and off-pump coronary artery bypass grafting: A report of two cases
dc.typeArticle

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