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Veno-venous bypass versus no bypass in orthotopic liver transplantation: hemodynamic, metabolic, and renal data

1998; Elsevier BV; Volume: 30; Issue: 5 Linguagem: Inglês

10.1016/s0041-1345(98)00465-5

1873-2623

G. Rossi, Martin Langer, U. Maggi, P. Reggiani, L. Caccamo, Stefano Gatti, G. Paone, Alberto Vannelli, Paolo Prato, M Doglia, E. Melada, Lea Latham, L. R. Fassati,

Renal Transplantation Outcomes and Treatments

We describe a patient with structurally normal heart who developed hemodynamic instability during orthotropic liver transplantation caused by severe dynamic left ventricular outflow tract obstruction. Successful management of this adverse event was facilitated by the use of intravenous terlipressin. The case highlights a role for terlipressin as a selective vasopressin receptor agonist with subsequent effects on systemic vascular resistance.