Ramneek Kaur , Annu Sarin Jolly , Sanjay Yadav , Sanjay K Goja
{"title":"Incidental detection of a large atrial septal defect in liver donor: Addressing the unknown!","authors":"Ramneek Kaur , Annu Sarin Jolly , Sanjay Yadav , Sanjay K Goja","doi":"10.1016/j.liver.2023.100182","DOIUrl":null,"url":null,"abstract":"<div><p>Liver donation is an altruistic act wherein donor safety takes paramount importance. Donor selection is done after a meticulous evaluation to rule out any perioperative health risk. It is not unusual to find uncorrected congenital heart disease (CHD) in adults as a part of this detailed examination. This case reports a 34-year-old male liver transplant donor, with no known comorbidities, who was incidentally detected with a large atrial septal defect (ASD). We report the successful management of this case after ASD closure with the various therapeutic options available to us. The need for ASD closure for donor hepatectomy, and the unique preoperative and intraoperative challenges are elaborated in this report as limited literature is available to guide the course of action in this context. A multidisciplinary approach can facilitate safe perioperative management and prevent the exclusion of such donors from the scanty liver donor pool.</p><p><strong>Categories:</strong> Anesthesiology, Transplantation</p></div>","PeriodicalId":100799,"journal":{"name":"Journal of Liver Transplantation","volume":"12 ","pages":"Article 100182"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Liver Transplantation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666967623000442","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Liver donation is an altruistic act wherein donor safety takes paramount importance. Donor selection is done after a meticulous evaluation to rule out any perioperative health risk. It is not unusual to find uncorrected congenital heart disease (CHD) in adults as a part of this detailed examination. This case reports a 34-year-old male liver transplant donor, with no known comorbidities, who was incidentally detected with a large atrial septal defect (ASD). We report the successful management of this case after ASD closure with the various therapeutic options available to us. The need for ASD closure for donor hepatectomy, and the unique preoperative and intraoperative challenges are elaborated in this report as limited literature is available to guide the course of action in this context. A multidisciplinary approach can facilitate safe perioperative management and prevent the exclusion of such donors from the scanty liver donor pool.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
