BPG is committed to discovery and dissemination of knowledge
Articles Published Processes
10/13/2021 5:53:54 AM | Browse: 496 | Download: 1056
 |
Received |
|
2021-06-07 16:34 |
|
Peer-Review Started |
|
2021-06-07 16:38 |
 |
To Make the First Decision |
|
|
|
Return for Revision |
|
2021-07-27 06:28 |
|
Revised |
|
2021-08-11 23:32 |
|
Second Decision |
|
2021-09-24 07:57 |
|
Accepted by Journal Editor-in-Chief |
|
|
|
Accepted by Executive Editor-in-Chief |
|
2021-09-26 09:03 |
|
Articles in Press |
|
2021-09-26 09:03 |
|
Publication Fee Transferred |
|
|
|
Edit the Manuscript by Language Editor |
|
|
|
Typeset the Manuscript |
|
2021-10-12 11:30 |
|
Publish the Manuscript Online |
|
2021-10-13 05:53 |
| ISSN |
2218-6182 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
|
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Anesthesiology |
| Manuscript Type |
Case Report |
| Article Title |
Intraoperative management of liver transplant in a patient with an undiagnosed ventricular septal defect: A case report
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Tejal Vivek Desai, Achal Dhir, Douglas Quan and Raffael Zamper |
| ORCID |
|
| Funding Agency and Grant Number |
|
| Corresponding Author |
Tejal Vivek Desai, Founder, Visiting Professor, MBBS, Doctor, Doctor, Research Fellow, Department of Anesthesia and Perioperative Medicine, University Hospital, London Health Sciences Centre, 339 Windermere Road, London N6A 5A5, Ontario, Canada. tejaldesai7@gmail.com |
| Key Words |
Liver transplant; Ventricular septal defect; Transesophageal echocardiography; Intracardiac shunt; Paradoxical embolism; Case report |
| Core Tip |
A liver transplant is a challenging case which can involve significant hemodynamic instability. It is also a situation where organ waitlists can prolong time to surgery leading to significant deterioration of the recipient’s condition. This can be compounded by any unexpected cardiac findings diagnosed in the immediate preoperative period by echocardiography. Our findings of a ventricular septal defect on transthoracic echocardiography (TTE) led to a clinical dilemma of proceeding with surgery knowing there was a risk of paradoxical embolism or hypoxemia. On the other hand, rejecting a matched donation after circulatory death liver graft would have been a waste of precious resources. By using intraoperative transesophageal echocardiography (TEE) we carefully titrated intraoperative hemodynamics and prevented intracardiac shunting. Our case highlights the importance of bedside TTE as well as intraoperative TEE in patients undergoing orthotopic liver transplants. |
| Publish Date |
2021-10-13 05:53 |
| Citation |
Desai TV, Dhir A, Quan D, Zamper R. Intraoperative management of liver transplant in a patient with an undiagnosed ventricular septal defect: A case report World J Anesthesiol 2021; 10(1): 1-6 |
| URL |
https://www.wjgnet.com/2218-6182/full/v10/i1/1.htm |
| DOI |
https://dx.doi.org/10.5313/wja.v10.i1.1 |
© 2004-2025 Baishideng Publishing Group Inc. All rights reserved. 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
California Corporate Number: 3537345
