Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology

Management of adults with failing Fontan physiology poses many challenges, especially as transplantation offers the only realistic alternative to palliative care. We present the first combined heart and liver transplant performed in Europe, for a late survivor of single ventricle palliation with the...

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Detalles Bibliográficos
Autores principales: Duong, Phuoc, Coats, Louise, O'Sullivan, John, Crossland, David, Haugk, Beate, Babu‐Narayan, Sonya V., Keegan, Jennifer, Hudson, Mark, Parry, Gareth, Manas, Derek, Hasan, Asif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695182/
https://www.ncbi.nlm.nih.gov/pubmed/28941165
http://dx.doi.org/10.1002/ehf2.12202
Descripción
Sumario:Management of adults with failing Fontan physiology poses many challenges, especially as transplantation offers the only realistic alternative to palliative care. We present the first combined heart and liver transplant performed in Europe, for a late survivor of single ventricle palliation with the Fontan circulation. In addition to the conventional medical and surgical challenges posed, we highlight the management of the associated multi‐organ failure with focus on the liver and novel strategies for assessment and optimization.

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