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Iatrogenic Acute Ascending Aortic Dissection During Combined Heart/Liver Transplant for Amyloidosis.
Transplant Proc
; 55(8): 1978-1980, 2023 Oct.
Artículo
en Inglés
| MEDLINE
| ID: mdl-37652784
RESUMEN
We report a case of iatrogenic acute type A aortic dissection (ATAAD) during a combined heart-liver transplant in a patient with amyloid-associated cardiac and hepatic failure. The patient developed ATAAD of the recipient's aorta during the heart transplantation. Because there was no sign of malperfusion or proximal extension into the donor aorta, we proceeded with the liver transplantation and continued medical management for ATAAD. The patient was discharged uneventfully 30 days after the transplant, and computed tomography coronary angiogram after 4 months showed stable dissection. During a heart transplant, ATAAD of the native aorta without malperfusion syndrome can be managed conservatively with close progress monitoring.
Asunto(s)
Amiloidosis , Aneurisma de la Aorta , Disección Aórtica , Disección de la Aorta Ascendente , Trasplante de Corazón , Trasplante de Hígado , Humanos , Aneurisma de la Aorta/diagnóstico por imagen , Aneurisma de la Aorta/etiología , Aneurisma de la Aorta/cirugía , Trasplante de Hígado/efectos adversos , Disección Aórtica/diagnóstico por imagen , Disección Aórtica/etiología , Disección Aórtica/cirugía , Trasplante de Corazón/efectos adversos , Amiloidosis/complicaciones , Enfermedad Iatrogénica
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