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Case Reports in Transplantation
Volume 2015, Article ID 136595, 3 pages
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.

Supplementary Material

The supplemental digital material for this case report is contains four separate echocardiographic videos. Video 1 is a mid-esophageal five chamber view and the arrow delineates the lateral wall of the right atri-um. A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to, and compressing the right atrium. Video 2 is a mid-esophageal four chamber view that has been omniplaned to 70 degrees to better visualize the right atrium. Right atrial compression is evident. The next video (Video 3) is again the mid-esophageal five chamber view but it was acquired while the surgeons retracted the liver. It is evident that compression of right atrium is significantly improved by the surgical maneuver. Lastly, Video 4 is an apical four chamber transthoracic echocardiography loop that was captured post-plication. Compression of the right atrium and right ventricle is no longer present. Key: AV: Aortic Valve, LA: Left atrium, LV: Left Ventricle, RA: Right Atrium, RV: Right ventricle. TV: Tricuspid Valve.

  1. Supplementary Material