The patient with severe comorbidities

Cardiac disease

Shahriar Shayan, Andre M Dewolf*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In order to properly discuss the anesthetic management of patients with cardiac comorbidities undergoing liver transplantation (LTx), we will first briefly describe the cardiovascular changes that occur as a result of liver failure, including hemodynamic changes and cirrhotic cardiomyopathy. We will then concentrate on the following comorbidities: coronary artery disease (CAD), valvular heart disease, and hypertrophic obstructive cardiomyopathy (HOCM). Preoperative diagnosis of cardiac comorbidities is essential to ensure preoperative optimization and proper intraoperative management and helps in determining the potential need for combined cardiac surgery and LTx. Poor left ventricular function (ejection fraction <35 %) or severe cardiac disease that cannot be improved or corrected is considered to be contraindication for LTx, and only rarely can a patient with these conditions be considered for combined heart Tx/LTx [1].

Original languageEnglish (US)
Title of host publicationLiver Anesthesiology and Critical Care Medicine
PublisherSpringer New York
Pages243-253
Number of pages11
ISBN (Electronic)9781461451679
ISBN (Print)9781461451662
DOIs
StatePublished - Jan 1 2012

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Comorbidity
Heart Diseases
Heart Valve Diseases
Hypertrophic Cardiomyopathy
Liver Failure
Cardiomyopathies
Left Ventricular Function
Liver Transplantation
Stroke Volume
Thoracic Surgery
Anesthetics
Coronary Artery Disease
Hemodynamics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shayan, S., & Dewolf, A. M. (2012). The patient with severe comorbidities: Cardiac disease. In Liver Anesthesiology and Critical Care Medicine (pp. 243-253). Springer New York. https://doi.org/10.1007/9781461451679
Shayan, Shahriar ; Dewolf, Andre M. / The patient with severe comorbidities : Cardiac disease. Liver Anesthesiology and Critical Care Medicine. Springer New York, 2012. pp. 243-253
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Shayan, S & Dewolf, AM 2012, The patient with severe comorbidities: Cardiac disease. in Liver Anesthesiology and Critical Care Medicine. Springer New York, pp. 243-253. https://doi.org/10.1007/9781461451679

The patient with severe comorbidities : Cardiac disease. / Shayan, Shahriar; Dewolf, Andre M.

Liver Anesthesiology and Critical Care Medicine. Springer New York, 2012. p. 243-253.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Shayan S, Dewolf AM. The patient with severe comorbidities: Cardiac disease. In Liver Anesthesiology and Critical Care Medicine. Springer New York. 2012. p. 243-253 https://doi.org/10.1007/9781461451679