Casestudies

When the Heart Follows the Liver

When the Heart Follows the Liver
Managing Cardiac Surgeries in Hepatic Compromise

HIGH-RISK CABG IN A PATIENT WITH LIVER DYSFUNCTION

A 55-year-old gentleman with autoimmune hepatitis, chronic kidney disease, and previous CVA presented with rest angina. Coronary angiogram revealed triple vessel disease. Despite ascites and pulmonary hypertension, he underwent successful high-risk CABG performed by Dr. Srinath Vijayasekharan & Dr Senthil Kumar (Cardiothoracic and Heart & Lung Transplantation Surgeon). Intraoperatively, ischemic MR was noted but managed medically, and mitral valve replacement was avoided. The patient recovered without complications, reflecting a tailored approach to high-risk cardiac cases

I'm interested

    Related Casestudies

    • A SURGICAL FEAT ACROSS SYSTEMS: TACKLING RENAL CELL CARCINOMA WITH INTRACARDIAC EXTENSION

      ||A Rare and High-Risk Multidisciplinary Triumph at Rela Institute||A 47-year-old man presented to Rela Institute with a complex and life-threatening condition—clear cell renal cell carcinoma (RCC) that had extended beyond the kidney to invade the liver, adrenal gland, and, most critically, the right atrium of the heart via the inferior vena cava (IVC). What began as persistent cough and breathlessness led to a startling discovery—a massive retroperitoneal tumor with intracardiac extension, a rare presentation seen in less than 1% of RCC cases. Imaging including PET-CT, MRI, and CT-pulmonary angiography revealed a large necrotic mass invading multiple organs and extending into

      Read More

    • LUNG TRANSPLANT IN A CASE OF INTERSTITIAL LUNG DISEASE

      ||LUNG TRANSPLANT IN A CASE OF INTERSTITIAL LUNG DISEASE|| 42 year old female a known case of interstitial lung disease since 2010. She is also a known case of rheumatoid arthritis. She had worsening of her lung functions since 2020 and became oxygen dependent since 2023. She required more than 10 litres of oxygen support and became totally bedridden for the past 3 months. She got admitted and evaluated for lung transplantation and got registered in the Tamilnadu state transplant registry. She got deteriorated requiring HFNC support with 100 % oxygen. It was found that maintaining oxygen saturation more than

      Read More

    • LUNG TRANSPLANT IN SEVERE PULMONARY HYPERTENSION

      ||LUNG TRANSPLANT IN SEVERE PULMONARY HYPERTENSION||19-year-old female was diagnosed with Bronchiectasis at 7 years of age. Her lung condition gradually deteriorated which led her to become oxygen dependent. She became extremely oxygen dependent and had breathlessness even at rest. She hardly maintains oxygen saturation more than 85% even with 10 litres of oxygen support. Her family was extremely worried about her declining health condition. Her parents brought her to Rela institute. She was evaluated and was found to have cystic bronchiectasis with severe pulmonary hypertension due to long standing poor pulmonary reserve. Parents were counselled about high-risk lung transplantation and

      Read More
    Go Back Top