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BJA Advance Access published online on July 27, 2006
British Journal of Anaesthesia, doi:10.1093/bja/ael193
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted June 14, 2006

Case Report

Off-pump coronary artery bypass grafting in a patient with Child class C liver cirrhosis awaiting liver transplantation

A. Ben Ari 1, E. Elinav 2, A. Elami 3, and I. Matot 1 *

1 Department of Anaesthesiology and Critical Care Medicine, Hadassah University Medical Centre, The Hebrew University of Jerusalem, Jerusalem, Israel
2 Liver Unit, Department of Medicine, Hadassah University Medical Centre, The Hebrew University of Jerusalem, Jerusalem, Israel
3 Department of Cardiothoracic Surgery, Hadassah University Medical Centre, The Hebrew University of Jerusalem, Jerusalem, Israel

* To whom correspondence should be addressed.
I. Matot, E-mail: iditm{at}hadassah.org.il


  Abstract

We report the case of a Child class C cirrhotic patient who was diagnosed with coronary artery disease in the course of his pretransplantation evaluation. He underwent off-pump coronary artery bypass grafting (OPCAB), which was complicated with acute renal failure. The morbidity and mortality associated with cardiac operation in patients with cirrhosis is discussed, and the potential advantage of OPCAB in this patient population is emphasized.

Keywords: complications, cirrhosis; heart, disease; liver, transplantation; surgery, cardiac.
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