A Living Related Donor Liver Transplant Recipient Who Needed an Aortic Valve Replacement and Redo CABG after Ross Operation

(Department of Cardiovascular Surgery, Memorial Heart Center, Iwate Medical University, Morioka, Japan)

Tsuyoshi Kataoka Hiroshi Izumoto Junichi Koizumi
Kazuaki Ishihara Kohei Kawazoe
We report a successful open heart reoperation of a 14-year-old girl with Alagille syndrome. The patient underwent a living related donor liver transplantation at the age of 9 years in another hospital because of liver failure due to a paucity of interlobular bile ducts. Two years later, because of progression of her aortic valve stenosis, Ross operation and CABG were performed in the same hospital. Afterwards, her neoaortic valve regurgitation developed due to aortic root dilatation and myocardial ischemia developed by anastomosis site stenosis. She started to experience frequent angina attacks. She underwent AVR and redo CABG in our institution in April 2002. Her pre- and postoperative liver function was normal and no special procedure for the liver was needed, and she was discharged on the 18th postoperative day with no complications. In this country, few open heart surgeries for liver transplant recipient have been performed, and no case of reoperation has yet been reported. If pre- and postoperative liver function are normal, pre- and postoperative management of open heart surgery for a transplant may be perfomed conventionally.
@Jpn. J. Cardiovasc. Surg. 34: 445-448 (2005)