Anesthesia management of a patient with liver cirrhosis and aortic-mitrale valve replacement [Karaci̇ǧer si̇rozu nedeni̇yle taki̇p edi̇len hastada aort ve mi̇tral kapak replasmaninda anestezi̇ yöneti̇mi̇]

Cardiopulmonary bypass (cbp) carries a very high risk of morbidity in child a,b and c and mortality in child c. we report a case of acute infective endocarditis in a patient with hepatic cirrhosis who was treated successfully with mitral and aortic valve replacement with cpb. a 46-year-old male patient with alcohol-related liver cirrhosis (child-pugh class c) was admitted to the hospital for infective endocarditis,and mitral valve and aortic valve were replaced. the respective duration of aortic cross clamping,cpb and the operation overall were 139,173 minute and 4 h respectively. in the intensive care unit the patient was extubated within 21 h and was discharged from the hospital after 16 days of operation. if it is not a must,anesthesiology and operation is not suggested on the patients having child-pugh c liver cirrhosis. especially cpb is related to high mortality rates on this patients. our summarized perioperative approach of successful replacement of double valve with cpb on our patient having child-pugh c liver cirrhosis would supply useful information on similar cases.