| CASE REPORT |
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| Year : 2013 | Volume
: 57
| Issue : 6 | Page : 599-602 |
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Perioperative management of liver transplantation with concurrent coronary artery disease: Report of two cases
Piyush Srivastava1, Lalit Sehgal1, Nalin Sharma1, Anil Agrawal1, Vivek Vij2
1 Department of Anaesthesia and Pain Medicine, Liver Transplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Uttar Pradesh, India
2 Department of Liver Transplant and GI Surgery, Fortis Hospital, Noida, Uttar Pradesh, India
Correspondence Address:
Lalit Sehgal
Liver Transplant Anaesthesia and Critical Care, Room No: 2153, Fortis Hospital, B-22, Sector 62, Noida, Uttar Pradesh - 201 301
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5049.123335
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Coronary artery disease (CAD), even if asymptomatic, has been known to complicate the perioperative management of patients undergoing liver transplantation. Perioperative outcome for such patients is worse than those without CAD despite improvement in risk stratification and management of CAD. We hereby report the successful perioperative management of two patients with CAD undergoing living-related liver transplantation. Maintaining systemic vascular resistance, goal-directed volume administration and surgical technique avoiding total clamping of IVC was the mainstay of stable intraoperative course. Moreover, a lower model for end stage liver disease (MELD) score at the time of liver transplant may also have been contributory to successful outcome in our patients. |
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