Open-heart surgery in pediatric patients with end-stage liver disease

Emile A. Bacha*, Joel Hardin, David C. Cronin, Lynda Brady, Michael J. Millis, Joanne P. Starr, Peter Koenig, Suanne Daves, Madelyn Kahana

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Little is known about the safety of pediatric cardiac surgery in children with end-stage liver disease. We reviewed our experience with 4 patients with biliary atresia or Alagille's syndrome who underwent repair of ventricular septal defect and tricuspid regurgitation, atrioventricular canal, subaortic stenosis, or supravalvular aortic stenosis. One patient died on postoperative day 2. All other patients survived to discharge. At follow-up, 1 patient died at home awaiting liver transplantation and the remaining patients are doing well. One patient received a successful liver transplant. Pediatric cardiac surgery in children with end-stage liver disease can be done safely, albeit with a higher mortality.

Original languageEnglish (US)
JournalAnnals of Thoracic Surgery
Volume78
Issue number2
DOIs
StatePublished - Aug 1 2004

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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