Successful right ventricular mechanical support after combined heart-liver transplantation.

C?>OMBINED HEART-LIVER TRANSPLANTATION HAS PROVEN to be a viable option for patients with end-stage heart and liver disease. 1 Raichlin E. Daly R.C. Rosen C.B. et al. Combined heart and liver transplantation: a single-center experience. Transplantation. 2009; 88: 219-225 Crossref PubMed Scopus (103) Google Scholar , 2 Te H.S. Anderson A.S. Millis J.M. et al. Current state of combined heart-liver transplantation in the United States. J Heart Lung Transplant. 2008; 27: 753-757 Abstract Full Text Full Text PDF PubMed Scopus (71) Google Scholar , 3 Nagpal A.D. Chamogeorgakis T. Shafii A.E. et al. Combined heart and liver transplantation: the Cleveland Clinic experience. Ann Thorac Surg. 2012; 95: 179-182 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar The Mayo Clinic reported survival rates equal to heart transplant alone. 1 Raichlin E. Daly R.C. Rosen C.B. et al. Combined heart and liver transplantation: a single-center experience. Transplantation. 2009; 88: 219-225 Crossref PubMed Scopus (103) Google Scholar The Cleveland Clinic reported a 100% survival among 5 patients. 3 Nagpal A.D. Chamogeorgakis T. Shafii A.E. et al. Combined heart and liver transplantation: the Cleveland Clinic experience. Ann Thorac Surg. 2012; 95: 179-182 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar Failure of the right ventricle in the donor heart before liver transplantation may result in hepatic congestion and decreased cardiac output, compromising perfusion. Additionally, the insult after liver reperfusion may result in further compromise of right ventricular function. The authors report a case of successful mechanical right ventricular support after combined heart-liver transplantation.