TY - JOUR
AR - SCR-2020-1-105
TI - A Case of Simultaneous Liver Transplantation and Mitral Valve Replacement in a HCV Cirrhotic Patient with Severe Mitral Valve Stenosis
AU - Andrea De, Gasperi
AU - Elena, Roselli
AU - Marcello, Guarnieri
JO - Surgical Case Reports
PY - 2020
DA - Mon 20, Jan 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.1.05
UR - https://www.sciencerepository.org/a-case-of-simultaneous-liver-transplantation-and-mitral-valve-replacement_SCR-2020-1-105 
KW - Liver transplantation, mitral valve replacement, cerebral hemorrhage
AB - We report a case ofsimultaneous liver transplantation and mitral valve replacement in a 53 years old woman
suffering for a severe HCV - related liver cirrhosis (CHILD C12, MELD 26), severe mitral stenosis and
chronic atrial fibrillation. Cardiac surgery was performed on cardiopulmonary bypass with full
heparinization and cardiac arrest and preceded liver transplantation. The patient was weaned on
postoperative day 2 from mechanical ventilation and on postoperative day 5 from hemodynamic support
and renal replacement therapy. She was transferred to the ward on POD 12. On POD 20 she was readmitted
to ICU for acute kidney failure, worsening graft function, sepsis and the suspicion of acute rejection. On
POD 56 after a long intensive treatment, the patient eventually died from an intracranial hemorrhage. This
complex combined surgery carries a high burden of morbidity and mortality but showed a good result in the
short term.