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- Title
Successful management of complex open heart surgery in a patient with Child-Pugh class C liver cirrhosis: report of a case.
- Authors
Kubota, Yasuhiko; Sakaguchi, Taichi; Miyagawa, Shigeru; Nishi, Hiroyuki; Yoshikawa, Yasushi; Fukushima, Satsuki; Saito, Shunsuke; Sawa, Yoshiki
- 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.
- Subjects
CARDIAC surgery; CIRRHOSIS of the liver; MORTALITY; HEART failure; PERIOPERATIVE care; BLOOD flow
- Publication
Surgery Today, 2013, Vol 43, Issue 3, p335
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-012-0325-3