Combined cardiac surgery and liver transplantation

During evaluation for liver transplantation, a 63-year-old man with cirrhos is secondary to hepatitis C was diagnosed with severe aortic stenosis (aort ic valve area, 0.87 cm(2)) and coronary artery disease. A combined procedur e involving aortic valve replacement (pericardial xenograft), coronary arte ry bypass surgery, and orthotopic liver transplantation was performed. Conv alescence was uneventful, and at 2 years after the procedure, the patient h as normal cardiac function, good prosthetic valve function, and biochemical ly normal liver function.