Key result
Intraoperative transesophageal echocardiography successfully demonstrated cardiac compression from a liver graft and confirmed its resolution following operative plication of the right hemidiaphragm.
Case Report (n=1)
Intraoperative TEE is useful for diagnosing and confirming the resolution of right-sided cardiac compression by a liver graft causing SVT.
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May support intraoperative TEE for rare graft-related cardiac compression in liver transplant; hypothesis-generating and requires prospective validation.
This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle. After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm. Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.
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Stoll et al. (2015) conducted a case report in Supraventricular tachycardia secondary to right-sided cardiac compression by liver graft (n=1). Intraoperative transesophageal echocardiography and operative plication of the right hemidiaphragm was evaluated on Resolution of cardiac compression. Intraoperative transesophageal echocardiography successfully demonstrated cardiac compression from a liver graft and confirmed its resolution following operative plication of the right hemidiaphragm.
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