终末期肝病和冠状动脉疾病患者tips术后严重出血的紧急处理

Q4 Medicine
Mohammad Arammash , Barbara Hamilton , Charles Rickert
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引用次数: 0

摘要

肝移植已广泛应用,但仍是一种高风险手术,不适合存在严重的合并症。术前计划应对潜在挑战是确保最佳结果的关键。在这篇报告中,我们强调了一个具有挑战性的临床情况,患者有严重的门静脉血栓形成和冠状动脉疾病,在TIPS后出现严重出血,需要紧急结扎门静脉结构和紧急肝移植。患者肝移植后成功行冠状动脉旁路移植术。本病例展示了一种非常规的方法来修复经颈静脉肝内门静脉分流继发的无法到达的门静脉出血,以及肝移植后进行冠状动脉旁路移植术的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Emergent management of severe post-TIPS bleed in patient with end-stage liver disease and coronary artery disease

Emergent management of severe post-TIPS bleed in patient with end-stage liver disease and coronary artery disease
Liver transplantation has become widely available but remains a high-risk operation not suitable in the presence of severe comorbidities. Pre-operative planning to address potential challenges is key to ensuring optimal outcomes. In this report, we highlight a challenging clinical situation in which a patient with severe portal vein thrombosis and coronary artery disease developed a significant bleed post TIPS, necessitating emergent ligation of the portal structures and urgent liver transplantation. The patient successfully underwent coronary artery bypass grafting after liver transplantation. This case demonstrates an unconventional method for remediating inaccessible portal vein hemorrhage secondary to transjugular intrahepatic portosystemic shunting and the ability to perform coronary artery bypass grafting post-liver transplantation.
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来源期刊
Transplantation Reports
Transplantation Reports Medicine-Transplantation
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
101 days
期刊介绍: To provide to national and regional audiences experiences unique to them or confirming of broader concepts originating in large controlled trials. All aspects of organ, tissue and cell transplantation clinically and experimentally. Transplantation Reports will provide in-depth representation of emerging preclinical, impactful and clinical experiences. -Original basic or clinical science articles that represent initial limited experiences as preliminary reports. -Clinical trials of therapies previously well documented in large trials but now tested in limited, special, ethnic or clinically unique patient populations. -Case studies that confirm prior reports but have occurred in patients displaying unique clinical characteristics such as ethnicities or rarely associated co-morbidities. Transplantation Reports offers these benefits: -Fast and fair peer review -Rapid, article-based publication -Unrivalled visibility and exposure for your research -Immediate, free and permanent access to your paper on Science Direct -Immediately citable using the article DOI
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