Liver Disease Presents Obstacle to Cardiothoracic Surgery
Short of breath, unable to lie down, and experiencing abdominal pain from ascites, a 66-year-old woman from Ohio with chronic myeloid leukemia was diagnosed with advanced heart failure. She would require angioplasty and mitral valve replacement surgery. However, she also had Child class B cirrhosis, making the heart surgeries too risky for the team that had been managing her heart failure to perform.
The patient began researching medical centers. Her cardiologist recommended she consult with specialists at Duke to discuss a potential plan for surgery.
Question: How did Duke approach the patient’s care for both her heart and liver conditions?