TITLE:
Management of a patient on dual antiplatelet therapy presented for living donor liver transplant
AUTHORS:
Marina Moguilevitch, Ellise Delphin, James Widyn, David Turk
KEYWORDS:
Liver Transplantation; Antiplatelet Drugs; Blood Transfusion; Coronary Artery Disease
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.2 No.2,
May
9,
2013
ABSTRACT: We report a case of a patient who underwent Living Donor Liver
Transplantation (LDLT) while being continued on his dual antiplatelet regimen
of clopidigrel and aspirin perioperatively. The patient had two drug eluting
stents for coronary artery disease placed eight months prior to surgery.
Preoperative thromboelastography and platelet mapping showed normal clot
formation. Based on these tests it was determined that preoperative platelet
transfusion was not necessary. The surgery proceeded relatively uneventfully.
The patient received 1 unit of packed red blood cells intraoperatively and
continued on aspirin during the postoperative period with no evidence of
bleeding or cardiac ischemia.