Consecutive coronary artery bypass grafting and orthotopic living donor liver transplantation

Kenan Sever; Hakan Kilercik; Murat Akyıldız; Ayhan Dinçkan; Denyan Mansuroğlu

doi:10.5606/tgkdc.dergisi.2017.14201

Kenan Sever¹, Hakan Kilercik², Murat Akyıldız³, Ayhan Dinçkan³, Denyan Mansuroğlu¹

¹Department of Cardiovascular Surgery, Yeniyüzyıl University Gaziosmanpaşa Hospital, Istanbul, Turkey
²Department of Anesthesiology and Reanimation, Yeniyüzyıl University Gaziosmanpaşa Hospital, Istanbul, Turkey
³Department of Cardiovascular Surgery, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2017.14201

Coexistence of coronary artery disease and end-stage liver disease is expected to have high mortality and morbidity rates. Coronary artery bypass grafting is a challenging obstacle in the treatment of this group. In this article, a 52-year-old male patient with Child A cirrhosis secondary to chronic hepatitis B and recurrent esophageal variceal bleeding was evaluated preoperatively and detected to have three-vessel coronary artery disease. Surgical revascularization was advised to treat coronary artery disease. Coronary artery bypass grafting was performed before orthotopic liver transplantation and consecutive orthotopic liver transplantation was implemented in less than 24 hours from living donor as an alternative approach. No major complication was observed and the patient was discharged with recovery.

Keywords : Coronary artery bypass grafting; coronary artery disease; orthotopic liver transplantation

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