Table 3.
Combined Heart–Liver Transplantation (CHLT) Single Center Reports in the Literature, Operative Factors, 2004–2015.
| Citation | Citation | Year | Technique | Duration of Operation | Donor Heart Ischemic Time | Donor Liver Ischemic Time | CPB Duration | Anhepatic Period |
|---|---|---|---|---|---|---|---|---|
| Barbara et al. | [7] | 2015 | Heart–Liver 25/27 (93%), Liver–Heart 2/27 (7%), 12 with VVB for OLT and caval interposition, 11 without VVB with piggyback technique, 2 with CPB for OHT and OLT, CPB for all OHT | M 760 ± 125, Med 754; R 545–1124 | M 141 ± 57, Med 142, R 58–257 | M 390 ± 104, Med 413, R 151–536 | M 134 ± 40, M 122, R 151–536 | M 62 ± 11, Med 61, R 45–82 |
| Atluri et al. | [31] | 2014 | OLT after CPB discontinuation, OLT with VVB | NR | 175 ± 50 | NR | 175 | NR |
| Nagpal et al. | [29] | 2013 | OHT with CPB, CPB weaned, protamine administered, OLT with selective VVB with caval interposition or piggyback | NR | Med 141 m, R 125–177 | NR | NR | NR |
| Ravaioli et al. | [32] | 2012 | Simultaneous Heart and Split Liver (Right), OLT after CPB discontinuation, piggyback technique, no VVB | NR | NR | CIT 6 h | 45 m | NR |
| Nelson et al. | [9] | 2012 | OLT after CPB discontinuation, OLT with VVB in five patients, sequential heart then liver in 1 patient with liver 175 d after heart transplant | NR | CIT M 230 ± 65 m, R 120–324 m | CIT M 620 m ± 110 m, R 450–720 m | NR | NR |
| Chan et al. | [14] | 2012 | OLT after CPB discontinuation, OLT without VVB with side-to-side anastomosis | NR | <4 h | NR | NR | NR |
| Marriott et al. | [30] | 2011 | OHT with CPB, CPB with partial flow during OLT (10%), No VVB, modified piggyback technique | NR | 174 m | 346 m | 271 m | 55 m |
| Patel et al. | [21] | 2011 | OHT with CPB, OLT after CPB discontinuation, OLT with VVB | NR | NR | NR | NR | NR |
| Eyraud et al. | [33] | 2011 | OHT on CPB, OLT while patient on ECMO and double VVB | NR | 135 m | 11 h 52 m | NR | NR |
| Rauchfuss et al. | [36] | 2011 | OHT and OLT on CPB, no VVB | 293 ± 204 m | Cold 190 ± 72 m, Warm 98 ± 96 m | Cold 349 ± 101 m, Warm 36.25 ± 3.5 m | 534 ± 247 m | NR |
| Eyraud et al. | [43] | 2011 | Simultaneous Tx, OLT after CPB discontinuation, OLT with VVB | NR | 2 h 46 m | 12 h 47 m | NR | NR |
| Hennessey et al. | [37] | 2010 | OHT and OLT on CPB, no VVB | NR | M 138.75, R 83–201 | M 222.5, R 135–300 | M 188.5, R 121–248 m | NR |
| Raichlin et al. | [15] | 2009 | OLT after CPB discontinuation, OHT with selective VVB | NR | NR | NR | NR | NR |
| Barreiros et al. | [34] | 2009 | 3 OHT then OLT without VVB, 1 en-block | NR | NR | NR | NR | NR |
| Diaz et al. | [35] | 2007 | OLT after CPB discontinuation, OLT with VVB, piggyback technique | NR | 260 min | 473 m cold, 32 m warm | 177 min | NR |
| Bernier et al. | [38] | 2007 | OHT and OLT on CPB, no VVB | NR | 185 min | 288 min | 197 min | Cross-clamp time 73 min |
| Pilato et al. | [10] | 2007 | OHT with CPB, OLT 2 piggyback without VVB and 3 piggyback with VVB | NR | M 153 m, R 111–180 m | M 8.9 h, R 8.10–9.54 | M 151, R 105–235 | NR |
| Dell'Amore et al. | [42] | 2006 | Simultaneous Tx, no specification about the operation technique | NR | NR | NR | NR | NR |
| Alkofer et al. | [16] | 2005 | OHT on CPB, OLT after CPB discontinuation, OLT with VVB | NR | NR | NR | NR | NR |
| Haynes et al. | [27] | 2004 | Simultaneous Tx, no specification about the operation technique | NR | NR | NR | NR | NR |
| Nardo et al. | [12] | 2004 | OHT on CPB, OLT after CPB discontinuation and reversal, OLT with VVB in 2/4 (50%) of patients | hour.min: 14.20, 17.10, 16, 13.15 | hour.min: 2.22, 2.42, 2.30, 2.58 | hour.min: 9.10, 9.39, 8.4, 9.54 | min: 148, 112, 157, 105 | NR |