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A successful heart and liver transplantation requiring intraoperative extracorporeal membrane oxygenation for primary cardiac allograft dysfunction in a patient with Fontan failure
Author(s) -
Siddiqi Umar A.,
Hibino Narutoshi,
Combs Pamela S.,
Baker Talia,
Song Tae,
Kim Gene,
Jeevanandam Valluvan
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14561
Subject(s) - medicine , extracorporeal membrane oxygenation , liver transplantation , extracorporeal , heart transplantation , heart failure , transplantation , cardiology , surgery , intensive care medicine
We report a case of successful heart and liver transplantation requiring intraoperative extracorporeal membrane oxygenation (ECMO) for primary cardiac allograft dysfunction in a patient with Fontan failure. A successful outcome for both the heart and the liver can be achieved with the timely management of ECMO support. In describing our experiences treating a Fontan patient requiring multiorgan transplantation, we have shown that challenging cases such as this one can have successful outcomes if multidisciplinary collaborations and proper treatment strategies are utilized at the optimal timing, along with family support and patient cooperation.