Medical Tourism and the Division in Anesthesia Surgical Clearance

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

A 71-year-old patient with a history of alcoholic liver cirrhosis and recurrent hepatic encephalopathy post-Transjugular Intrahepatic Portosystemic Shunt was denied a liver transplant due to coronary artery disease (ejection fraction 35% with Left Anterior Descending Artery and Left Circumflex Artery occlusions). He traveled to Turkey and within a month, he underwent a living donor liver transplant and subsequent cardiac catheterizations with stent placements. He later returned to the United States to re-establish care. In this case presentation, we will discuss risk stratification, regulatory variations, and the ethical considerations associated with differences in surgical clearance.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

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