Coronary artery bypass surgery in primary biliary cirrhosis: a case report

Gökçe Şirin; Hakan Bingöl; Tankut Akay; Hikmet İyem; Vedat Yıldırım; Harun Tatar

Gökçe Şirin¹, Hakan Bingöl¹, Tankut Akay¹, Hikmet İyem¹, Vedat Yıldırım², Harun Tatar¹

¹Gülhane Askeri Tıp Akademisi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara
²Gülhane Askeri Tıp Akademisi, Anesteziyoloji ve Reanimasyan Anabilim Dalı, Ankara

Coronary artery bypass surgery is not frequent in cases with primary biliary cirrhosis (PBC). Limited data about the clinical course and prognosis of these patients is obtained from small series. In this short report, we present our coronary bypass surgery experience about a 66-year-old female patient with PBC associated with coronary artery occlusive disease. Although postoperative morbidity rate is expected to be high, we believe that coronary bypass surgery with cardiopulmonary bypass can be performed safely in patients with mild and moderate degrees of PBC, if cardiopulmonary bypass and aortic cross clamp times are not prolonged.

Keywords : Coronary artery disease; coronary artery bypass; liver cirrhosis, biliary

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