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 language | English (US) |
|---|---|
| Title of host publication | Liver Anesthesiology and Critical Care Medicine |
| Publisher | Springer New York |
| Pages | 243-253 |
| Number of pages | 11 |
| ISBN (Electronic) | 9781461451679 |
| ISBN (Print) | 9781461451662 |
| DOIs | |
| State | Published - Jan 1 2012 |
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ASJC Scopus subject areas
- Medicine(all)
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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 proceeding › Chapter
TY - CHAP
T1 - The patient with severe comorbidities
T2 - Cardiac disease
AU - Shayan, Shahriar
AU - Dewolf, Andre M
PY - 2012/1/1
Y1 - 2012/1/1
N2 - 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].
AB - 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].
UR - http://www.scopus.com/inward/record.url?scp=84961299946&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84961299946&partnerID=8YFLogxK
U2 - 10.1007/9781461451679
DO - 10.1007/9781461451679
M3 - Chapter
SN - 9781461451662
SP - 243
EP - 253
BT - Liver Anesthesiology and Critical Care Medicine
PB - Springer New York
ER -