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Is the presence of surgically treatable coronary artery disease a contraindication to liver transplantation?

Authors


Corresponding author. Enrico Benedetti, MD, Division of Transplantation (M/C 958), University of Illinois at Chicago, 840 South Wood Street, CSB Room 402 Chicago, IL 60612, USA. Fax: + 312 4133483.

Abstract

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.

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