PMC5932520_01
Aneurysm of ascending aorta ((a), blue arrow) and insufficiency of the aortic valve ((b), blue arrow, transesophageal echocardiography). Ascendens aneurysm was evaluated using CT-scan ((c), blue arrow, distal part of the aorta ascendens above the sinus valsalvae, early arterial phase).
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fig1
During listing for liver transplantation, ascending aorta aneurysm (47 mm diameter) associated with severe insufficiency of bicuspid aortic valve was diagnosed (Figure 1).
Surgical strategy of combined OLTx and Bentall operation. OLTx, orthotopic liver transplantation.
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fig2
Instead, we chose a simultaneous surgical approach and both teams used the individual reperfusion times, respectively (Figure 2).
Well-perfused liver cysts (blue arrows) are highlighted by contrast medium (liver size marked with red arrows, preoperative computed tomography scan, early venous phase). Explanted cyst liver (b): gall bladder, g; cysts, c.
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fig3
David operation, was not applicable. During cardiac reperfusion only inferior vena cava stayed ligated and the cyst liver was explanted in toto (Figure 3).