Budd-Chiari Syndrome 환자의 간이식 수술 중 예상 밖의 대량출혈

Budd-Chiari syndrome (BCS) is a heterogenous group of disorders characterized by obstruction of hepatic venous outflow. Severe liver cirrhosis and limited cardiac reserve in patients with BCS makes them less tolerant to liver transplantation. We experienced two cases of massive bleeding during livin...

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Published inKorean journal of anesthesiology Vol. 53; no. 6; pp. 796 - 802
Main Authors 송하나, Ha Na Song, 정성문, Sung Moon Jeong, 서영주, Young Joo Seo, 김희영, Hee Yeong Kim, 전혜영, Hye Young Jeon, 최재문, Jae Moon Choi, 송준걸, Jun Gol Song, 함경돈, Kyung Don Hahm, 황규삼, Gyu Sam Hwang
Format Journal Article
LanguageKorean
Published 대한마취통증의학회 30.12.2007
Subjects
Budd-Chiari syndrome
Liver transplantation
massive bleeding
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ISSN2005-6419

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Summary:Budd-Chiari syndrome (BCS) is a heterogenous group of disorders characterized by obstruction of hepatic venous outflow. Severe liver cirrhosis and limited cardiac reserve in patients with BCS makes them less tolerant to liver transplantation. We experienced two cases of massive bleeding during living donor liver transplantation in patients with BCS. Blood products and fluids were rapidly infused with a rapid infusion system, final infusion volume in these two patients were 177 L and 193 L, and the use of Cell Savers allowed for the patient`s blood products to be saved. The patients were managed successfully and recovered uneventfully with advanced monitoring, including monitoring of their jugular venous oxygen saturation and continuous cardiac output. Therefore, rapid infusion systems and Cell Savers, along with advanced monitoring, are necessary in the event of massive bleeding during liver transplantation. (Korean J Anesthesiol 2007; 53: 796∼802)
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419