1. Combined Liver Kidney Transplant in Adult Patient With Alagille Syndrome and Pulmonary Hypertension.
- Author
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McGahan RK, Tang JE, Iyer MH, Flores AS, and Gorelik LA
- Subjects
- Adult, Female, Humans, Kidney, Alagille Syndrome complications, Alagille Syndrome surgery, Hypertension, Pulmonary complications, Kidney Transplantation
- Abstract
In this article, we describe a case of a 33-year-old female with Alagille syndrome complicated by bilateral branch pulmonary artery stenosis resulting in moderate pulmonary hypertension, end-stage liver disease complicated by portal hypertension, and chronic renal disease who presented for combined liver-kidney transplant. Alagille syndrome is an autosomal dominant disease affecting the liver, heart, and kidneys. Multidisciplinary preoperative evaluation was performed with a team consisting of a congenital heart disease cardiologist, a cardiac anesthesiologist, a nephrologist, and a transplant surgeon. We describe Alagille syndrome and our intraoperative management. To our knowledge, this is the first description of a combined liver-kidney transplant in an adult patient with Alagille syndrome.
- Published
- 2021
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