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Implantation of the liver during reperfusion of the heart in combined heart-liver transplantation: own experience and review of the literature.

Abstract：

BACKGROUND:There are only a few reports about combined heart-liver transplantations. The surgical techniques differ widely, ranging from sequential implantation of the organs to simultaneous transplantations. We report our experience with simultaneous, combined heart-liver transplantations without using a veno-venous bypass demonstrating that this is a feasible surgical technique. METHODS:Since 2005, we performed 4 combined heart-liver transplantations by implanting the liver during the reperfusion period of the newly implanted heart. We retrospectively reviewed patient clinical data and outcomes. RESULTS:The mean operative time was 534 ± 247 minutes and the ischemia times for heart and liver were 190 ± 72 minutes (cold ischemia time for the heart), 98 ± 96 minutes (warm ischemia time for the heart), 349 ± 101 minutes (cold ischemia time for the liver), and 36.25 ± 3.5 minutes (warm ischemia time for the liver). Three patients were discharged from the hospital after an uneventful clinical course. One patient died due to multi-organ failure during the intensive care unit stay on the 23rd postoperative day. CONCLUSION:We suggest that combined, simultaneous heart-liver transplantation without veno-venous bypass is a feasible surgical technique.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Rauchfuss F,Breuer M,Dittmar Y,Heise M,Bossert T,Hekmat K,Settmacher U

doi

10.1016/j.transproceed.2011.04.010

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

2707-13

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(11)00838-4

journal_volume

43

pub_type

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