[HSF] Operating on Liver Cirrhotics

[Ben Bidstrup]

Factor VIIA. Given pre-emptively when Hemophilia is being treated. It 
brought about the million dollar TH Replacement. 5K for hip, 995K for 
VIIa, I bet the comapny loved it!

In other areas, no - only if you have more money than sense .IMHO

>I presume you are not talking about OPCAB since you did not mention 
>a diagnosis.
>tea
>
>
>----- Original Message ----
>From: Ani Anyanwu <anianyanwu at hotmail.com>
>To: OpenHeart-L at lists.hsforum.com
>Sent: Saturday, June 30, 2007 8:21:46 PM
>Subject: [HSF] Operating on Liver Cirrhotics
>
>
>I would be keen to know approaches members use to reduce the 
>morbidity or mortality associated with cardiac surgery in patients 
>with liver cirrhosis. 
>We have an active liver transplant program and few times a year i 
>have to operate on patients requiring liver transplant who have 
>co-existing cardiac problems. These patients seem so unpredictable 
>and mortality has been high such that on occasion some surgeons have 
>done the (cardiac) procedure in combination with the liver 
>transplant.
>I would be grateful for any tips on dealing with this difficult 
>group. Prassana I know has a regime of hepatic infusion of 
>venodilators - is their logic or data to back this and do others 
>have experience of this technique? Do people give Factor VII 
>pre-emptively?
>Thanks
>Ani
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon