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Living related donor liver transplantation in a patient with severe aortic stenosis

Adachi, T ; Murakawa, M ; Uetsuki, N ; Segawa, H

British Journal of Anaesthesia, 1999-09, Vol.83 (3), p.488-490 [Periódico revisado por pares]

Oxford: Elsevier Ltd

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Título:
Living related donor liver transplantation in a patient with severe aortic stenosis
Autor: Adachi, T ; Murakawa, M ; Uetsuki, N ; Segawa, H
Assuntos: Alagille Syndrome - surgery ; Anesthesia ; Anesthesia depending on patient's condition ; Anesthesia, General - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aortic Valve Stenosis ; Biological and medical sciences ; Child ; Female ; Follow-Up Studies ; Humans ; Liver Transplantation ; Medical sciences
É parte de: British Journal of Anaesthesia, 1999-09, Vol.83 (3), p.488-490
Notas: ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Descrição: We report the successful anaesthetic management of a young girl with Alagille’s syndrome and severe aortic stenosis (resting pressure gradient 88 mm Hg) undergoing living related donor liver transplantation (LRDLT). The patient had end-stage liver disease and LRDLT was performed before replacement of the aortic valve. Anaesthesia was conducted uneventfully with the aid of a pulmonary artery catheter. Intra-aortic balloon pumping was used in the perioperative period for protection against myocardial ischaemia. Total clamping of the inferior vena cava was avoided during surgery and volume administration was guided by the pulmonary artery pressure. A stable circulation was maintained in the reperfusion period. The patient was discharged from hospital on day 54 after operation with normal liver function. Two years later her aortic valve was replaced successfully.
Editor: Oxford: Elsevier Ltd
Idioma: Inglês

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Living related donor liver transplantation in a patient with severe aortic stenosis

Adachi, T ; Murakawa, M ; Uetsuki, N ; Segawa, H

Oxford: Elsevier Ltd

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