| Temporary cardiac pacing for fatal arrhythmia in living-donor liver transplantation: three case reports. | |
| | |
MedLine Citation:
|
PMID: 18929869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cardiac pacing often turns out to be the only effective treatment of severe, life-threatening arrhythmias. We performed 77 living-donor liver transplantations (LDLT) from 1999 to 2007. In these cases, three recipients experienced fatal arrhythmia and required temporary cardiac pacing during the perioperative period. The first case was a 68-year-old woman diagnosed with liver cirrhosis and hepatocellular carcinoma (HCC). Her Model for End-Stage Liver Disease (MELD) score was 34. We performed LDLT using a right lobe graft. She showed complete atrioventricular block with cardiac arrest at postoperative day (POD) 42 after a bacterial infection. We performed a resuscitation and instituted temporary cardiac pacing. However, she was dead at POD 43. Pathologic findings at autopsy showed a diffuse myocardial abscess, which caused the fatal arrhythmia. The second case was a 58-year-old man diagnosed with HCC and liver cirrhosis; his MELD score was 9. We performed LDLT using a right lobe graft. He showed atrial fibrillation after septic shock. He also showed sinus bradycardia with a cardiac arrest at POD 10. We performed resuscitation and emergent temporary pacing. He recovered and was alive without recurrence of arrhythmia or infection. The third case was a 58-year-old woman diagnosed with multiple HCC. During preoperative regular check-up, she was diagnosed to have cardiac hypertrophy and was started on beta-blockers as treatment for cardiac hypertrophy. However, severe bradycardia necessitated temporary cardiac pacing. LDLT was performed safely after implantation of a pacemaker. Early use of temporary cardiac pacing for severe arrhythmias may be effective to maintain the hemodynamic state in LDLT. |
| | |
Authors:
|
T Kobayashi; Y Sato; S Yamamoto; H Oya; T Takeishi; H Kokai; K Hatakeyama |
Related Documents
:
|
11843469 - Optimal stimulation of the left ventricle. 18684279 - Effect of pacing for soft indications on mortality and heart failure in the dual chambe... 1084809 - Abolition of ischemic response to atrial pacing following aortocoronary bypass surgery. 1739529 - Pacemaker electrode implantation in patients with persistent left superior vena cava. 8931229 - Surgical treatment for right ventricular perforation caused by transvenous pacing elect... 4015449 - Cardiac pacing in japan. 2195889 - Outcomes in patients with myocardial infarction who are initially admitted to stepdown ... 19564719 - Cardiac remodeling in patients with primary aldosteronism. 12500159 - Cytoprotection by melatonin and growth hormone in early rat myocardial infarction as re... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Transplantation proceedings Volume: 40 ISSN: 0041-1345 ISO Abbreviation: Transplant. Proc. Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-10-20 Completed Date: 2008-12-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0243532 Medline TA: Transplant Proc Country: United States |
Other Details:
|
Languages: eng Pagination: 2818-20 Citation Subset: IM |
Affiliation:
|
Division of Digestive and General Surgery, Niigata University Graduate School of medical and Dental Sciences, Niigata, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Arrhythmias, Cardiac / etiology*, therapy* Bradycardia / therapy Carcinoma, Hepatocellular / surgery Cardiac Pacing, Artificial / methods* Fatal Outcome Female Humans Intraoperative Complications / therapy Liver Neoplasms / surgery Liver Transplantation / adverse effects* Living Donors* Male Middle Aged Resuscitation Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Preemptive living donor liver transplantation in glycogen storage disease Ia: case report.
Next Document: Rhabdomyolysis after liver transplantation: a case report.