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J Anaesthesiol Clin Pharmacol. 2019 Jul-Sep;35(3):396-399. doi: 10.4103/joacp.JOACP_180_18.

Perioperative anesthetic management of a combined right atrial thrombectomy with living donor liver transplantation.

Author information

1
Department of Anesthesiology, Center for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.
2
Department of Surgery, Center for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.
3
Department of Cardiac Anaesthesia, Max Super Speciality Hospital, Saket, New Delhi, India.
4
Department of Cardiothoracic and Vascular Surgery (CTVS), Max Super Speciality Hospital, Saket, New Delhi, India.

Abstract

Hepatocellular carcinoma (HCC) with vascular invasion is usually considered inoperable. We describe a case of HCC with vascular invasion and right atrial thrombus that was successfully down staged. Patient underwent combined right atrial thrombectomy and living donor liver transplantation (LDLT) in the same setting. Perioperative anesthesia management and perioperative concerns of two major combined procedures are discussed.

KEYWORDS:

Cardio pulmonary bypass; combined right atrial thrombectomy and LDLT; hepato cellular carcinoma and transplant; minimally invasive cardiac surgery

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