Cardiac considerations in liver transplantation
Vikram Sharma, Cerise Kleb, Chirag Sheth, Beni Verma, Vardhmaan Jain, Ruchi Sharma, Parth Parikh, Jacek B. Cywiński, Krishna Menon, Jamak Modaresi Esfeh, Bijan Eghtesad, Cristiano Quintini, Teresa Diago Uso, Michael Z. Tong, Ravi Nair, Ajay Bhargava, Maan Fares
Abstract
Cardiovascular events have a major impact on overall outcomes after liver transplantation. Today's transplant patients are older than those in the past and therefore are more likely to have coexisting cardiac comorbidities. In addition, pathophysiologic effects of advanced liver disease on the circulatory system pose challenges in perioperative management. This review discusses important preoperative, intraoperative, and postoperative cardiac considerations in patients undergoing liver transplant.