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10/13/2021 5:53:54 AM | Browse: 375 | Download: 633
Publication Name World Journal of Anesthesiology
Manuscript ID 68554
Country/Territory Canada
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 Company 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
Author(s) ORCID Number
Tejal Vivek Desai http://orcid.org/0000-0003-3572-452X
Achal Dhir http://orcid.org/0000-0001-5327-6420
Douglas Quan http://orcid.org/0000-0002-9982-3159
Raffael Zamper http://orcid.org/0000-0003-2783-3072
Funding Agency and Grant Number
Corresponding Author Tejal Vivek Desai, DA, DNB, MBBS, 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
Full Article (PDF) WJA-10-1.pdf
Full Article (Word) WJA-10-1.docx
CARE Checklist–2016 68554-CARE-Checklist–2016-revision.pdf
Manuscript File 68554_Auto_Edited.docx
Answering Reviewers 68554-Answering reviewers.pdf
Audio Core Tip 68554-Audio core tip.mp3
Conflict-of-Interest Disclosure Form 68554-Conflict-of-interest statement.pdf
Copyright License Agreement 68554-Copyright license agreement.pdf
Signed Informed Consent Form(s) or Document(s) 68554-Informed consent statement.pdf
Peer-review Report 68554-Peer-review(s).pdf
Scientific Misconduct Check 68554-Bing-Wu YXJ-2.jpg
Scientific Editor Work List 68554-Scientific editor work list.pdf