Aortic valve replacement for patient with infective endocarditis early after liver transplantation with a complete withdrawal of immunosuppressive therapy

Abstract

The number of patients with severe liver failure awaiting transplantation is increasing steadily. The shortage of donor organs, in turn, leads to long waiting time for liver transplants and increases the likelihood of decompensation and progression of the disease, significantly increasing the proportion of urgent patients on the waiting list for liver transplantation. This article presents a clinical case report of a successful multistage surgical and therapeutic treatment of complications in a patient before and after liver transplantation. In the early postoperative period, the recipient of the liver from a deceased donor underwent the debridement of the aortic root and the aortic valve replacement for the treatment of acute infective endocarditis, with the immunosuppressive therapy being discontinued for 3 weeks without a deterioration of the graft function.

Keywords

• liver transplantation
• infective endocarditis
• aortic valve replacement
• immunosuppression