Iatrogenic Acute Ascending Aortic Dissection During Combined Heart/Liver Transplant for Amyloidosis.

Autor: Wadiwala IJ; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Garg P; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Pham V; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Taner CB; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Farres H; Department of Surgery, Mayo Clinic, Jacksonville, Florida., Krishna M; Department of Pathology, Mayo Clinic, Jacksonville, Florida., Pham SM; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida. Electronic address: pham.si@mayo.edu.
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2023 Oct; Vol. 55 (8), pp. 1978-1980. Date of Electronic Publication: 2023 Aug 30.
DOI: 10.1016/j.transproceed.2023.07.018
Abstrakt: We report a case of iatrogenic acute type A aortic dissection (ATAAD) during a combined heart-liver transplant in a patient with amyloid-associated cardiac and hepatic failure. The patient developed ATAAD of the recipient's aorta during the heart transplantation. Because there was no sign of malperfusion or proximal extension into the donor aorta, we proceeded with the liver transplantation and continued medical management for ATAAD. The patient was discharged uneventfully 30 days after the transplant, and computed tomography coronary angiogram after 4 months showed stable dissection. During a heart transplant, ATAAD of the native aorta without malperfusion syndrome can be managed conservatively with close progress monitoring.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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