Successful management of complex open heart surgery in a patient with Child-Pugh class C liver cirrhosis: report of a case.

Abstract:

:Open heart surgery in patients with Child-Pugh class C liver cirrhosis has a high mortality rate and is generally considered to be contraindicated. A patient with liver cirrhosis (Child-Pugh class C) underwent mandatory complex open heart surgery due to severe heart failure. The perioperative management, including the prophylactic use of intraaortic balloon pumping to increase the hepatic blood flow and the early initiation of continuous veno-venous hemodialysis to avoid hepatic congestion, enabled the patient to survive.

journal_name

Surg Today

journal_title

Surgery today

authors

Kubota Y,Sakaguchi T,Miyagawa S,Nishi H,Yoshikawa Y,Fukushima S,Saito S,Sawa Y

doi

10.1007/s00595-012-0325-3

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

335-8

issue

3

eissn

0941-1291

issn

1436-2813

journal_volume

43

pub_type

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