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Korean J Anesthesiol > Volume 57(1); 2009 > Article
Korean Journal of Anesthesiology 2009;57(1):108-112.
DOI: https://doi.org/10.4097/kjae.2009.57.1.108   
Combined off-pump coronary artery bypass grafting and living donor liver transplantation: A case report.
In Hoo Kim, Gaab Soo Kim, Justin Sangwook Ko, Sangmin Maria Lee
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@skku.edu
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.
Key Words: Coronary artery disease; Liver transplantation; OPCAB


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