期刊
TRANSPLANTATION PROCEEDINGS
卷 43, 期 7, 页码 2707-2713出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.transproceed.2011.04.010
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Background. There are only a few reports about combined heart-liver transplantations. The surgical techniques differ widely, ranging from sequential implantation of the organs to simultaneous transplantations. We report our experience with simultaneous, combined heart-liver transplantations without using a veno-venous bypass demonstrating that this is a feasible surgical technique. Methods. Since 2005, we performed 4 combined heart-liver transplantations by implanting the liver during the reperfusion period of the newly implanted heart. We retrospectively reviewed patient clinical data and outcomes. Results. The mean operative time was 534 +/- 247 minutes and the ischemia times for heart and liver were 190 +/- 72 minutes (cold ischemia time for the heart), 98 +/- 96 minutes (warm ischemia time for the heart), 349 +/- 101 minutes (cold ischemia time for the liver), and 36.25 +/- 3.5 minutes (warm ischemia time for the liver). Three patients were discharged from the hospital after an uneventful clinical course. One patient died due to multi-organ failure during the intensive care unit stay on the 23rd postoperative day. Conclusion. We suggest that combined, simultaneous heart-liver transplantation without veno-venous bypass is a feasible surgical technique.
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