Pro and ConPro: Dynamic LVOT Obstruction Should Be Considered an “Expected” Finding in Patients With End-Stage Liver Disease Undergoing Dobutamine Stress Echocardiography in Preparation for Liver Transplantation
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Cardiovascular Collapse During Liver Transplantation—Echocardiographic-Guided Hemodynamic Rescue and Perioperative Management
2018, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Furthermore, TEE can directly assess the formation of an intravascular and/or intracardiac clot in the operating room.1,6,25,26 Additionally, intraoperative TEE may aid in refining the differential diagnosis of graft congestion after reperfusion, including etiologies such as ventricular failure, severe postreperfusion syndrome, hypervolemia, left ventricular outflow tract obstruction, venous stenosis, and thrombosis.23–28 Although useful, TEE is not entirely benign.29
A Comprehensive Review of Transesophageal Echocardiography During Orthotopic Liver Transplantation
2018, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Some may exhibit findings of dynamic LVOTO during the preoperative DSE workup. However, this cannot always be relied on because it is estimated that nearly one third of patients do not reach the testing threshold of >85% of maximum predicted heart rate that allows for a complete and accurate assessment with DSE.59,60 A case report by Essandoh et al. highlights the utility of intraoperative TEE for diagnosing dynamic LVOTO during reperfusion and the importance of rapidly treating this pathology with immediate reduction in myocardial contractility, volume resuscitation, and increasing afterload.61
Preoperative echocardiography as a prognostic tool for liver transplant in patients with hypertrophic cardiomyopathy
2022, Clinical TransplantationCardiac considerations in liver transplantation
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