Ascites and Edema After Bicaval Orthotopic Heart Transplant

IVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic su...

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Veröffentlicht in:The Journal of invasive cardiology 2021-07, Vol.33 (7), p.E581
Hauptverfasser: Araj, Faris G, Balani, Jyoti P, Amin, Alpesh A, Mammen, Pradeep P A, Garg, Sonia, Luna, Michael
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container_issue 7
container_start_page E581
container_title The Journal of invasive cardiology
container_volume 33
creator Araj, Faris G
Balani, Jyoti P
Amin, Alpesh A
Mammen, Pradeep P A
Garg, Sonia
Luna, Michael
description IVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic suturing, fibrous contraction, and donor-recipient size mismatch. Treatment strategies include percutaneous balloon angioplasty, stenting, and surgical revision. Evaluating for IVC stenosis is recommended for unexplained lower-extremity edema, new-onset ascites, or liver abnormalities after bicaval heart transplant.
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subjects Anastomosis, Surgical
Angioplasty
Ascites - diagnosis
Ascites - etiology
Edema - diagnosis
Edema - etiology
Heart Transplantation - adverse effects
Humans
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - surgery
title Ascites and Edema After Bicaval Orthotopic Heart Transplant
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