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Utilization of Intraoperative TEE to Assess Supraventricular Tachycardia-Inducing Right-Sided Cardiac Compression by the Liver, Post-Liver-Transplantation Status.

Stoll WD, Hand WR, Rohan VS, Gaddy PM, Reeves ST, Chavin KD - Case Rep Transplant (2015)

Bottom Line: This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle.After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm.Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.

ABSTRACT
This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle. After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm. Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.

No MeSH data available.


Related in: MedlinePlus

Midesophageal (ME) five-chamber view. Arrows delineate the lateral wall of the right atrium (RA) (see Supplemental Digital Content 1 for the associated video in the Supplementary Material available online at http://dx.doi.org/10.1155/2015/136595). A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to and compressing the RA. Cartoon inset = ME 5-chamber view adapted from ASE and SCA Guidelines and Standards [7]. AV: aortic valve, LA: left atrium, LV: left ventricle, and RV: right ventricle.
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fig2: Midesophageal (ME) five-chamber view. Arrows delineate the lateral wall of the right atrium (RA) (see Supplemental Digital Content 1 for the associated video in the Supplementary Material available online at http://dx.doi.org/10.1155/2015/136595). A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to and compressing the RA. Cartoon inset = ME 5-chamber view adapted from ASE and SCA Guidelines and Standards [7]. AV: aortic valve, LA: left atrium, LV: left ventricle, and RV: right ventricle.


Utilization of Intraoperative TEE to Assess Supraventricular Tachycardia-Inducing Right-Sided Cardiac Compression by the Liver, Post-Liver-Transplantation Status.

Stoll WD, Hand WR, Rohan VS, Gaddy PM, Reeves ST, Chavin KD - Case Rep Transplant (2015)

Midesophageal (ME) five-chamber view. Arrows delineate the lateral wall of the right atrium (RA) (see Supplemental Digital Content 1 for the associated video in the Supplementary Material available online at http://dx.doi.org/10.1155/2015/136595). A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to and compressing the RA. Cartoon inset = ME 5-chamber view adapted from ASE and SCA Guidelines and Standards [7]. AV: aortic valve, LA: left atrium, LV: left ventricle, and RV: right ventricle.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4377392&req=5

fig2: Midesophageal (ME) five-chamber view. Arrows delineate the lateral wall of the right atrium (RA) (see Supplemental Digital Content 1 for the associated video in the Supplementary Material available online at http://dx.doi.org/10.1155/2015/136595). A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to and compressing the RA. Cartoon inset = ME 5-chamber view adapted from ASE and SCA Guidelines and Standards [7]. AV: aortic valve, LA: left atrium, LV: left ventricle, and RV: right ventricle.
Bottom Line: This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle.After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm.Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.

ABSTRACT
This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle. After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm. Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.

No MeSH data available.


Related in: MedlinePlus