gms | German Medical Science

128. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

03.05. - 06.05.2011, München

Combined heart-liver transplantation without additional use of a veno-venous bypass – own experience and review of the literature

Meeting Abstract

  • Falk Rauchfuß - Universitätsklinikum Jena, Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Jena
  • Martin Breuer - Universitätsklinikum Jena, Klinik für Herz- und Thoraxchirurgie, Jena
  • Michael Heise - Universitätsklinikum Jena, Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Jena
  • Torsten Bossert - Universitätsklinikum Jena, Klinik für Herz- und Thoraxchirurgie, Jena
  • Khosro Hekmat - Universitätsklinikum Jena, Klinik für Herz- und Thoraxchirurgie, Jena
  • Utz Settmacher - Universitätsklinikum Jena, Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Jena

Deutsche Gesellschaft für Chirurgie. 128. Kongress der Deutschen Gesellschaft für Chirurgie. München, 03.-06.05.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11dgch458

doi: 10.3205/11dgch458, urn:nbn:de:0183-11dgch4589

Published: May 20, 2011

© 2011 Rauchfuß et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: There are only a few reports about combined heart-liver transplantations. The surgical techniques differ widely ranging from sequential implantation of the organs to different techniques of simultaneous transplantation. We report about our experience with simultaneous, combined heart- liver- transplantations without using a veno-venous bypass demonstrating that this is a feasible surgical technique.

Materials and methods: Since 2005, four combined heart-liver transplantations were performed at our department. The combined heart-liver transplantations were performed by implantation of the liver during the reperfusion period of the newly implanted heart.

Results: The mean operating time was 534±247 minutes and the ischemia times for heart and liver were 190±72 minutes (cold ischemia time heart); 98±96 minutes (warm ischemia time heart); 349±101 minutes (cold ischemia time liver) and 36,25±3,5 minutes (warm ischemia time liver), respectively. Three patients were discharged from hospital after an uneventful clinical course. One patient died from multi-organ failure during the ICU stay on the 23rd postoperative day.

Conclusion: We suggest the combined, simultaneous heart-liver transplantation without veno-venous bypass to be a feasible surgical technique.