Abstract
Clinically, we often encounter cancer patients who also have cardiovascular disease such as coronary artery disease. We experienced a case of severe coronary artery disease and a large hepatocellular carcinoma in a 69-year-old man. To reduce the risk of a perioperative cardiovascular event during mesohepatectomy, an elective intra-aortic balloon pump (IABP) was used. After an uneventful recovery, the patient was discharged on day 15. While IABP is frequently introduced in cardiac surgery, there have been few reports of its use during liver surgery. Here, we present IABP-assisted major hepatectomy as an option in a patient with both cancer and coronary artery disease.
Highlights
Advances in multimodal treatment options, such as radiofrequency ablation, interventional radiology, and chemotherapy, have improved the rate of survival in patients with hepatocellular carcinoma (HCC), hepatic resection still provides the best chance of a cure, especially in patients with HCC that has progressed beyond the Milan criteria
In a randomized control study comparing hepatectomy and trans-arterial chemoembolization (TACE) for resectable HCC that had progressed beyond the Milan criteria, better survival outcomes were achieved with hepatectomy [1]
We present a case with a large HCC and severe coronary artery disease which was successfully treated with an intra-aortic balloon pump (IABP)-assisted mesohepatectomy
Summary
Intra-aortic balloon pump-assisted major hepatectomy in a case with coronary disease.
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