Successful surgical treatment of cardiac cirrhosis. Tricuspid surgery and plasma exchange
Toyoda, Y.; Okada, M.; Sugimoto, T.; Yoshida, M.; Ataka, K.; Yamashita, C.
Journal of Cardiovascular Surgery 37(3): 305-307
1996
ISSN/ISBN: 0021-9509 PMID: 8698769 Document Number: 468389
A patient with cardiac cirrhosis due to severe tricuspid regurgitation associated with a mitral valve lesion successfully underwent mitral and tricuspid valve replacement. Preoperative rest cure with liver supporting therapy for 5 months was used to maximize hepatic and cardiac function. Postoperatively, jaundice developed despite improvements in cardiac function. Plasma exchange was performed nine times over a period of 10 days until the liver function improved. He was discharged with New York Heart Association class I symptoms and normal liver function 2 months following surgery.