Cardiac and Pulmonary Vascular Risk Stratification in Liver Transplantation

Blessing Aghaulor, Lisa B. VanWagner*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Cardiovascular disease complications are the leading cause of early (short-term) mortality among liver transplant recipients. The increasingly older candidate pool has multiple comorbidities necessitating cardiac and pulmonary vascular disease risk stratification of patients for optimal allocation of scarce donor livers. Arrhythmias, heart failure, stroke, and coronary artery disease are common pretransplant cardiovascular comorbidities and contribute to cardiovascular complications after liver transplant. Valvular heart disease and portopulmonary hypertension present intraoperative challenges during liver transplant surgery. The Cardiovascular Risk in Orthotopic Liver Transplantation score estimates the risk of cardiovascular complications in liver transplant candidates within the first year after transplant.

Original languageEnglish (US)
Pages (from-to)157-177
Number of pages21
JournalClinics in liver disease
Volume25
Issue number1
DOIs
StatePublished - Feb 2021

Keywords

  • Cardiovascular
  • Early complications
  • Liver
  • Risk factors
  • Stratification
  • Transplant

ASJC Scopus subject areas

  • Hepatology

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