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A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report

BACKGROUND: Pediatric liver transplantation is an important modality for treating biliary atresia. The overall survival rate of pediatric liver transplantation has significantly improved. The incidence of perioperative cardiac events was evaluated, and risk factors were also investigated in adult pa...

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Detalles Bibliográficos
Autores principales: Huang, Dan, Yang, Liqun, Yu, Weifeng, Qi, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682432/
https://www.ncbi.nlm.nih.gov/pubmed/38034826
http://dx.doi.org/10.3389/fped.2023.1271925
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author Huang, Dan
Yang, Liqun
Yu, Weifeng
Qi, Bo
author_facet Huang, Dan
Yang, Liqun
Yu, Weifeng
Qi, Bo
author_sort Huang, Dan
collection PubMed
description BACKGROUND: Pediatric liver transplantation is an important modality for treating biliary atresia. The overall survival rate of pediatric liver transplantation has significantly improved. The incidence of perioperative cardiac events was evaluated, and risk factors were also investigated in adult patients undergoing liver transplantation in previous studies. To the best of our knowledge, this is the first case of a cardiac event during a pediatric living-donor liver transplantation. CASE SUMMARY: Our report describes the management of cardiac events during a liver transplantation in a 7-month-old girl. The ST segment began to increase to 3.0 mm immediately after reperfusion, with peak ST-segment elevation reaching 13.2 mm after 45 min. The procedure ended uneventfully after continuous symptomatic and etiological treatment. It was considered to be the occurrence of an acute air embolism complication during the procedure based on the electrocardiograph and biomarkers. An echocardiogram during follow-up showed a patent foramen ovale with a left-to-right shunt tract width of 2.7 mm. DISCUSSION: Pediatric liver transplantation has become a state-of-the-art treatment for children with end-stage liver disease and can improve the quality of life to some extent. These children may be complicated with congenital heart disease, which increases the risk of surgery. Application of echocardiogram, close monitoring, and appropriate management may reduce the incidence of perioperative cardiac events.
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spelling pubmed-106824322023-11-30 A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report Huang, Dan Yang, Liqun Yu, Weifeng Qi, Bo Front Pediatr Pediatrics BACKGROUND: Pediatric liver transplantation is an important modality for treating biliary atresia. The overall survival rate of pediatric liver transplantation has significantly improved. The incidence of perioperative cardiac events was evaluated, and risk factors were also investigated in adult patients undergoing liver transplantation in previous studies. To the best of our knowledge, this is the first case of a cardiac event during a pediatric living-donor liver transplantation. CASE SUMMARY: Our report describes the management of cardiac events during a liver transplantation in a 7-month-old girl. The ST segment began to increase to 3.0 mm immediately after reperfusion, with peak ST-segment elevation reaching 13.2 mm after 45 min. The procedure ended uneventfully after continuous symptomatic and etiological treatment. It was considered to be the occurrence of an acute air embolism complication during the procedure based on the electrocardiograph and biomarkers. An echocardiogram during follow-up showed a patent foramen ovale with a left-to-right shunt tract width of 2.7 mm. DISCUSSION: Pediatric liver transplantation has become a state-of-the-art treatment for children with end-stage liver disease and can improve the quality of life to some extent. These children may be complicated with congenital heart disease, which increases the risk of surgery. Application of echocardiogram, close monitoring, and appropriate management may reduce the incidence of perioperative cardiac events. Frontiers Media S.A. 2023-11-14 /pmc/articles/PMC10682432/ /pubmed/38034826 http://dx.doi.org/10.3389/fped.2023.1271925 Text en © 2023 Huang, Yang, Yu and Qi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Huang, Dan
Yang, Liqun
Yu, Weifeng
Qi, Bo
A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title_full A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title_fullStr A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title_full_unstemmed A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title_short A 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
title_sort 7-month-old girl with a suspected air embolism complication during a living-donor liver transplantation procedure: a case report
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682432/
https://www.ncbi.nlm.nih.gov/pubmed/38034826
http://dx.doi.org/10.3389/fped.2023.1271925
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