Is the presence of surgically treatable coronary artery disease a contraindication to liver transplantation?
Article first published online: 23 MAY 2002
Volume 13, Issue 1, pages 59–61, February 1999
How to Cite
Benedetti, E., Massad, M. G., Chami, Y., Wiley, T. and Layden, T. J. (1999), Is the presence of surgically treatable coronary artery disease a contraindication to liver transplantation?. Clinical Transplantation, 13: 59–61. doi: 10.1034/j.1399-0012.1999.t01-1-130109.x
- Issue published online: 23 MAY 2002
- Article first published online: 23 MAY 2002
- coronary artery bypass;
- liver transplantation
Advanced coronary artery disease has been traditionally considered an absolute contraindication to orthotopic liver transplantation where chronic liver failure significantly increases the surgical risk for coronary artery bypass grafting. Performing a simultaneous coronary artery bypass grafting and liver transplant is a theoretically attractive strategy in liver transplant candidates with coronary artery disease in need of revascularization. In the present article, we report a successful simultaneous coronary artery bypass grafting and orthotopic liver transplant with 1-yr post-operative follow-up and we discuss the rationale for this approach. In selected cases, the presence of advanced coronary artery disease should not be considered an absolute contraindication to liver transplantation.