Liver Transplantation Followed by Renal Transplantation on Extracorporeal Membrane Oxygenation: A Case Report

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Abstract

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.

Original languageEnglish
Pages (from-to)3107-3110
Number of pages4
JournalTransplantation Proceedings
Volume51
Issue number9
DOIs
StatePublished - Nov 2019

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