Open AccessCombined heart–liver transplantation for failing Fontan circulation in a late survivor with single‐ventricle physiology
Author(s) -
Duong Phuoc,
Coats Louise,
O'Sullivan John,
Crossland David,
Haugk Beate,
BabuNarayan Sonya V.,
Keegan Jennifer,
Hudson Mark,
Parry Gareth,
Manas Derek,
Hasan Asif
Publication year - 2017
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.12202
Subject(s) - medicine , liver transplantation , heart transplantation , ventricle , fontan procedure , intensive care medicine , transplantation , heart failure , cardiology , palliative care , nursing
Management of adults with failing Fontan physiology poses many challenges, especially as transplantation offers the only realistic alternative to palliative care. We present the first combined heart and liver transplant performed in Europe, for a late survivor of single ventricle palliation with the Fontan circulation. In addition to the conventional medical and surgical challenges posed, we highlight the management of the associated multi‐organ failure with focus on the liver and novel strategies for assessment and optimization.