Browsing by Author "Vatansever, Safa"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • Thumbnail Image
    Article
    Citation - Scopus: 1
    Concurrent Living Donor Liver Transplantation and Off-Pump Coronary Artery Bypass in a Five-Year Child With Homozygous Familial Hypercholesterolemia: a Case Report
    (Elsevier Inc., 2023-04) Kazimi M.; Mahmudov R.; Beydullayev K.; Aytayev T.; Asadov K.; Rustamzada G.; Shindiyeva S.; Asadov, Kanan; Beydullayev, Kamran; Rustamzada, Gulam; Aytayev, Telman; Kazimi, Mirjalal; Mahmudov, Rashad; Vatansever, Safa
    Background: Homozygous familial hypercholesterolemia (FH) is a rare disease that causes serious cardiovascular problems and may be fatal even at an early age. Because this disease variant is rather aggressive, the effect of lipid-lowering agents and lipid apheresis remains inadequate in most cases. In patients who are not responding or tolerating available treatments, liver transplantation (LT) is the last and definitive solution. In addition to LT, the need for cardiac surgery is often substantial. Case report: This study presents the first pediatric case of FH who underwent off-pump coronary artery bypass (OPCAB) surgery concurrent with live-donor LT (LDLT). The early postoperative period was uneventful. After a 1-year follow-up period, the patient is alive and well with normal liver functions and cholesterol levels remaining within the normal range without any lipid-lowering medical therapy. Conclusion: Performing simultaneous coronary bypass and LT may be safe and feasible even for pediatric patients. © 2023 Elsevier Inc.
  • Thumbnail Image
    Article
    Simultaneous Live Donor Liver Transplantation, Aortic Valve Replacement, and Atrial Septal Defect Repair in a Patient With End Stage Liver Disease: a Case Report
    (Elsevier Science Inc, 2023-04) Kazimi, Mirjalal; Beydullayev, Kamran; Farajov, Elnur; Shindiyeva, Saida; Jafarova, Shahnaz; Khalilov, Zaur; Nadirov, Tariyel; Dirican, Nigar; Vatansever, Safa
    Valvular heart disease creates an important barrier for orthotopic liver transplantation in patients with end-stage liver disease and increases mortality. Selection of the appropriate surgical scheme and adequate postoperative management can be lifesaving in these cases. This study presents a 32-year-old man diagnosed with hepatitis C-associated cirrhosis and severe aortic regurgitation due to subacute bacterial endocarditis. Initially, simultaneous aortic valve replacement (AVR) and live donor liver transplantation (LDLT) was planned. However, intraoperative transesopha- geal echocardiography revealed an additional atrial septal defect (ASD) and AVR, ASD repair, and LDLT surgery were performed. During the 2-year follow-up period, there were no early or late complications. To the best of our knowledge, this is the first patient to have simultaneous AVR, ASD repair, and LDLT surgery. Additionally, the present case is also unique in being the first person in the Republic of Azerbaijan to undergo concomitant cardiac surgery and LDLT.