Reply to: “Combined heart-liver transplantation for congestive hepatopathy with bridging fibrosis: Is it warranted?”

Abstract

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Update on combined heart and liver transplantation: evolving patient selection, improving outcomes, and outstanding questions

“…As such, Izzy et al [21] recommend caution toward dual organ transplantation for those with F3 fibrosis and would advocate for CHLT in those with pathologically confirmed cirrhosis (F4) or evidence of portal hypertension. Others argue for multidisciplinary consideration of CHLT in those with F3 fibrosis given increased risk of postoperative complications in these patients undergoing heart transplant alone [22].…”