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

Rajkumar Subramanian; Shweta A Singh; Subhash Gupta; Sanjoy Kumar Majhi; Rajneesh Malhotra

doi:10.4103/joacp.JOACP_180_18

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CASE REPORT

Year : 2019 | Volume : 35 | Issue : 3 | Page : 396-399

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

Rajkumar Subramanian¹, Shweta A Singh¹, Subhash Gupta², Sanjoy Kumar Majhi³, Rajneesh Malhotra⁴
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

Correspondence Address:
Dr. Shweta A Singh
Department of Anesthesiology, Centre for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi - 110 017
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/joacp.JOACP_180_18

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.

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