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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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
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author 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
author_facet 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
author_sort Duong, Phuoc
collection PubMed
description 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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spelling pubmed-56951822018-02-14 Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology 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 ESC Heart Fail Case Reports 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. John Wiley and Sons Inc. 2017-09-21 /pmc/articles/PMC5695182/ /pubmed/28941165 http://dx.doi.org/10.1002/ehf2.12202 Text en © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
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
Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title_full Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title_fullStr Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title_full_unstemmed Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title_short Combined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
title_sort combined heart–liver transplantation for failing fontan circulation in a late survivor with single‐ventricle physiology
topic Case Reports
url 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
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