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Matsumoto, Naohisa Department of Anesthesiology and Resuscitology, Okayama University Hospital
Matsusaki, Takashi Department of Anesthesiology and Resuscitology, Okayama University Hospital Kaken ID
Hiroi, Kazumasa Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kaku, Ryuji Department of Anesthesiology and Resuscitology, Okayama University Hospital Kaken ID publons
Yoshida, Ryuichi Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID researchmap
Umeda, Yuzo Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID researchmap
Few reports of liver transplantation exist in patients with congenital absence of the portal vein and pulmonary hypertension. Living donor liver transplantation is usually performed before exacerbation of pulmonary hypertension. A 7-year-old girl (height: 131.5 cm; weight: 27.4 kg) with congenital absence of the portal vein was diagnosed with pulmonary hypertension (mean pulmonary artery pressure 35 mm Hg), and liver transplantation was planned before exacerbation of pulmonary hypertension. We successfully managed her hemodynamic parameters using low-dose dopamine and noradrenaline under monitoring of arterial blood pressure, central venous pressure, cardiac output, and stroke volume variation. Anesthesia was maintained using air-oxygen-sevoflurane and remifentanil 0.1 to 0.6 μg∙kg-1∙min-1. It is necessary to understand the potential perioperative complications in such cases and to adopt a multidisciplinary team approach in terms of the timing of transplantation and readiness to deal with exacerbation of pulmonary hypertension.
11th Congress of the Andalusian-Society-of-Organ-and-Tissue-Transplantation (SATOT)
© 2020 The Authors. Published by Elsevier Inc.
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