TY - JOUR
T1 - Liver Transplantation Followed by Renal Transplantation on Extracorporeal Membrane Oxygenation
T2 - A Case Report
AU - Goswami, Shreya
AU - Ishag, Selma
AU - Hueneke, Rocco
AU - Lakshminarasimhachar, Anand
N1 - Funding Information:
The authors want to acknowledge Dr William C Chapman (Professor and Director of Liver Transplant Surgery) and Dr Muhammad Faraz Masood (Department of Cardio Thoracic Surgery) at Washington University School of Medicine for their help in conducting the surgery.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/11
Y1 - 2019/11
N2 - We report the case of a 68-year-old woman with end-stage liver disease and end-stage renal disease scheduled for simultaneous liver and kidney transplant. Intraoperatively, she became hemodynamically unstable during her liver transplant surgery, and her renal transplant had to be postponed. On the following day, she required extracorporeal membrane oxygenation and ABIOMED Impella support for managing her severe cardiovascular decompensation. At the same time, the renal transplant was conducted to use the donor kidney already allocated for this patient. The patient was successfully managed postoperatively in the cardiothoracic intensive care unit and was discharged after 2 months. This case is unique because there are no similar cases previously reported in which renal transplantation was performed with extracorporeal membrane oxygenation and Impella support following cardiogenic shock after a liver transplant.
AB - We report the case of a 68-year-old woman with end-stage liver disease and end-stage renal disease scheduled for simultaneous liver and kidney transplant. Intraoperatively, she became hemodynamically unstable during her liver transplant surgery, and her renal transplant had to be postponed. On the following day, she required extracorporeal membrane oxygenation and ABIOMED Impella support for managing her severe cardiovascular decompensation. At the same time, the renal transplant was conducted to use the donor kidney already allocated for this patient. The patient was successfully managed postoperatively in the cardiothoracic intensive care unit and was discharged after 2 months. This case is unique because there are no similar cases previously reported in which renal transplantation was performed with extracorporeal membrane oxygenation and Impella support following cardiogenic shock after a liver transplant.
UR - http://www.scopus.com/inward/record.url?scp=85068858212&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2019.03.039
DO - 10.1016/j.transproceed.2019.03.039
M3 - Article
C2 - 31324485
AN - SCOPUS:85068858212
SN - 0041-1345
VL - 51
SP - 3107
EP - 3110
JO - Transplantation Proceedings
JF - Transplantation Proceedings
IS - 9
ER -