Haemostasis monitoring during sequential aortic valve replacement and liver transplantation
| Journal | Volume 73 - 2010 |
| Issue | Fasc.1 - Case reports |
| Author(s) | E. Sieders, F. De Somer, S. Bouchez, L. Szegedi, Y. Van Belleghem, I. Colle, R. Troisi |
| Full article |
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| (1) Hepato-Biliary and Liver Transplant Center ; (2) Cardiac Surgery Unit ; (3) Dept. of Anesthesiology, Ghent University Hospital Medical School, Ghent, Belgium. E.S. is a transplant fellow from the Section of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University of Groningen, Groningen, The Netherlands. |
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Despite advances in anaesthesiological and surgical techniques, cardiac surgery in cirrhotic patients remains hazardous. This report outlines our experience with haemostasis monitoring in two consecutive cases of sequential aortic valve replacement and liver transplantation. Clotting disturbances proved to have fatal conse- quences since one of these patients died following massive lung embolism. The second patient underwent successfully this com- bined procedure and is in good clinical state 14 months postopera- tively. Evaluation and discussion of the coagulation monitoring by the Sonoclot Analyzer in both patients and related therapeutic sug- gestions for the prevention of thrombotic events are discussed. (Acta gastroenterol. belg., 2010, 73, 65-68). |
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© Acta Gastro-Enterologica Belgica. PMID 20458854 |
