TWO-STAGE SURGICAL TREATMENT OF A CHILD OF ONE YEAR FROM CONGENITAL HEART DISEASE AND BILIARY CIRRHOSIS
https://doi.org/10.15825/1995-1191-2014-1-41-46
Abstract
Aim: Clinical case of successful two-stage surgical treatment of a 1-year-old child with congenital heart disease and biliary cirrhosis is represented in this article. At the first day of life laparotomy was performed because of high intestinal obstruction. Kasai procedure and Roux-en-Y choledochojejunostomy were per- formed on 12th day and at the end of second month of life, respectively. Liver biopsy showed the signs of biliary cirrhosis. At the same time ventricular septal defect and atrial septal defect with pulmonary hyper- tension were diagnosed. The first step of treatment was the surgical septal defects closure. No complications during procedure, cardiopulmonary bypass and post-operative period were registered. There were no nega- tive effects on liver function after cardiac surgery. 11 months later living-donor liver transplantation was performed without any complications. Patient was discharged at 35th post-transplant day with stable graft function.
About the Authors
S. V. Gautier
«V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs», Moscow, Russian Federation
I.M. Sechenov First Moscow State Medical University. Chair of Transplantology and Artificial organs, Moscow, Russian Federation
A. S. Ivanov
Division of surgery of congenital heart diseases at the same center
V. N. Poptsov
Division of emergency care and anesthesiology at the same center
O. M. Tsirulnikova
I.M. Sechenov First Moscow State Medical University. Chair of Transplantology and Artificial organs, Moscow, Russian Federation
Department of Clinical Transplantation at the same center
S. V. Glamazda
Division of surgery of congenital heart diseases at the same center
A. S. Rodionov
Division of surgery of congenital heart diseases at the same center
A. V. Lebedeva
Division of surgery of congenital heart diseases at the same center
H. M. Hizroev
Division of abdominal surgery and Transplantation at the same center
D. G. Ahaladze
Division of abdominal surgery and Transplantation at the same center
M. K. Lugovskiy
Division of surgery of congenital heart diseases at the same center
I. V. Zhilkin
Division of abdominal surgery and Transplantation at the same center
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Review
For citations:
Gautier S.V., Ivanov A.S., Poptsov V.N., Tsirulnikova O.M., Glamazda S.V., Rodionov A.S., Lebedeva A.V., Hizroev H.M., Ahaladze D.G., Lugovskiy M.K., Zhilkin I.V. TWO-STAGE SURGICAL TREATMENT OF A CHILD OF ONE YEAR FROM CONGENITAL HEART DISEASE AND BILIARY CIRRHOSIS. Russian Journal of Transplantology and Artificial Organs. 2014;16(1):41-46. (In Russ.) https://doi.org/10.15825/1995-1191-2014-1-41-46
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