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

被引：8
|
作者：
Phuoc Duong [1 ]
Coats, Louise [1 ,2 ]
O'Sullivan, John [1 ]
Crossland, David [1 ]
Haugk, Beate [3 ]
Babu-Narayan, Sonya V. [4 ]
Keegan, Jennifer [4 ]
Hudson, Mark [5 ]
Parry, Gareth [1 ]
Manas, Derek [5 ]
Hasan, Asif [1 ]
机构：
[1] Freeman Rd Hosp, Dept Congenital Cardiol, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England
[2] Newcastle Univ, Inst Genet Med, Newcastle Upon Tyne, Tyne & Wear, England
[3] Royal Victoria Infirm, Dept Pathol, Newcastle Upon Tyne, Tyne & Wear, England
[4] Royal Brompton Hosp, Natl Heart & Lung Inst, London, England
[5] Freeman Rd Hosp, Dept Hepatol & Hepatobiliary Surg, Newcastle Upon Tyne, Tyne & Wear, England
来源：
ESC HEART FAILURE | 2017年 / 4卷 / 04期
关键词：
DYSFUNCTION; FAILURE;
D O I：
10.1002/ehf2.12202
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：675 / 678
页数：4
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