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Case Reports in Transplantation
Volume 2015 (2015), Article ID 136595, 3 pages
http://dx.doi.org/10.1155/2015/136595
Case Report

Utilization of Intraoperative TEE to Assess Supraventricular Tachycardia-Inducing Right-Sided Cardiac Compression by the Liver, Post-Liver-Transplantation Status

1Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
2Department of Surgery, Division of Transplant Surgery, Medical University of South Carolina, Charleston, SC 29425, USA
3Department of Surgery, Division of Transplant Surgery, Microbiology and Immunology, Medical University of South Carolina, Charleston, SC 29425, USA

Received 24 December 2014; Accepted 1 March 2015

Academic Editor: C. Classen

Copyright © 2015 W. David Stoll et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This unique and interesting case report involves a patient who recently underwent a combined liver and kidney transplant (due to autosomal dominant polycystic kidney disease) and subsequently suffered from episodes of supraventricular tachycardia (SVT) secondary to the new liver graft compressing the right atrium and ventricle. After this was diagnosed, the patient underwent operative plication of the right hemidiaphragm. Intraoperative transesophageal echocardiography was used to demonstrate cardiac compression from the liver and demonstrate resolution of compression after plication of the hemidiaphragm.