Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases-
We present two cases of dynamic left ventricular outflow tract obstruction in 2 patients who were undergoing living donor liver transplantation. On the preoperative transthoracic echocardiography, the first patient showed normal ventricular function and a normal wall thickness, but severe hemodynami...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-12-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-59-S128.pdf |
| _version_ | 1818550008269504512 |
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| author | Ae Ryoung Lee Young-Ri Kim Ji-Sun Ham Sangmin Maria Lee Gaab-Soo Kim |
| author_facet | Ae Ryoung Lee Young-Ri Kim Ji-Sun Ham Sangmin Maria Lee Gaab-Soo Kim |
| author_sort | Ae Ryoung Lee |
| collection | DOAJ |
| description | We present two cases of dynamic left ventricular outflow tract obstruction in 2 patients who were undergoing living donor liver transplantation. On the preoperative transthoracic echocardiography, the first patient showed normal ventricular function and a normal wall thickness, but severe hemodynamic deterioration developed during the anhepatic period and this was further aggravated after reperfusion in spite of volume resuscitation and catecholamine therapy. Intraoperative transesophageal echocardiography revealed the systolic anterior motion of the mitral valve leaflet together with left ventricular outflow tract obstruction. The second patient showed left ventricular hypertrophy with left ventricular outflow tract obstruction on the preoperative echocardiography. Intraoperative transesophageal echocardiography was used to guide fluid administration and the hemodynamic management throughout the procedure and a temporary portocaval shunt was established to mitigate the venous pooling during the anhepatic period. The purpose of this report is to emphasize the clinical significance of dynamic left ventricular outflow tract obstruction in patients who are undergoing living donor liver transplantation and the role of intraoperative echocardiography to detect and manage it. |
| first_indexed | 2024-12-12T08:40:43Z |
| format | Article |
| id | doaj.art-7efe54fff85742fc8a4ec5726437758b |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-12T08:40:43Z |
| publishDate | 2010-12-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-7efe54fff85742fc8a4ec5726437758b2022-12-22T00:30:47ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-12-0159SupplS128S13210.4097/kjae.2010.59.S.S1287022Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases-Ae Ryoung Lee0Young-Ri Kim1Ji-Sun Ham2Sangmin Maria Lee3Gaab-Soo Kim4Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.We present two cases of dynamic left ventricular outflow tract obstruction in 2 patients who were undergoing living donor liver transplantation. On the preoperative transthoracic echocardiography, the first patient showed normal ventricular function and a normal wall thickness, but severe hemodynamic deterioration developed during the anhepatic period and this was further aggravated after reperfusion in spite of volume resuscitation and catecholamine therapy. Intraoperative transesophageal echocardiography revealed the systolic anterior motion of the mitral valve leaflet together with left ventricular outflow tract obstruction. The second patient showed left ventricular hypertrophy with left ventricular outflow tract obstruction on the preoperative echocardiography. Intraoperative transesophageal echocardiography was used to guide fluid administration and the hemodynamic management throughout the procedure and a temporary portocaval shunt was established to mitigate the venous pooling during the anhepatic period. The purpose of this report is to emphasize the clinical significance of dynamic left ventricular outflow tract obstruction in patients who are undergoing living donor liver transplantation and the role of intraoperative echocardiography to detect and manage it.http://ekja.org/upload/pdf/kjae-59-S128.pdfdynamic left ventricular outflow tract obstructionintraoperative transesophageal echocardiographyliving donor liver transplantation |
| spellingShingle | Ae Ryoung Lee Young-Ri Kim Ji-Sun Ham Sangmin Maria Lee Gaab-Soo Kim Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- Korean Journal of Anesthesiology dynamic left ventricular outflow tract obstruction intraoperative transesophageal echocardiography living donor liver transplantation |
| title | Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- |
| title_full | Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- |
| title_fullStr | Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- |
| title_full_unstemmed | Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- |
| title_short | Dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients -A report of two cases- |
| title_sort | dynamic left ventricular outflow tract obstruction in living donor liver transplantation recipients a report of two cases |
| topic | dynamic left ventricular outflow tract obstruction intraoperative transesophageal echocardiography living donor liver transplantation |
| url | http://ekja.org/upload/pdf/kjae-59-S128.pdf |
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