Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2022; 10(29): 10638-10646
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10638
Perioperative anesthesia management in pediatric liver transplant recipient with atrial septal defect: A case report
Lan Liu, Pei Chen, Li-Li Fang, Li-Na Yu
Lan Liu, Li-Li Fang, Li-Na Yu, Department of Anesthesiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Pei Chen, Department of Anesthesiology, Hangzhou Women's Hospital, Hangzhou 310008, Zhejiang Province, China
Author contributions: Liu L and Chen P contributed to manuscript writing and editing, and data collection; Fang LL contributed to data analysis; Yu LN contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Zhejiang Province, No. LQ19C090006.
Informed consent statement: Informed written parental consent was granted to publish this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The CARE Checklist (2016) was consulted and applied to the drafting of this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Li-Na Yu, MD, Chief Doctor, Department of Anesthesiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Shangcheng District, Hangzhou 310009, Zhejiang Province, China.
Received: April 14, 2022
Peer-review started: April 14, 2022
First decision: June 16, 2022
Revised: July 13, 2022
Accepted: September 7, 2022
Article in press: September 7, 2022
Published online: October 16, 2022
Core Tip

Core Tip: Children with atrial septal defects bear substantially more than customary perioperative risk during orthotopic liver transplants. Although perioperative anesthesia management must reconcile individual cardiovascular constraints with proposed surgical plans, published reports offering necessary guidance are scarce. Herein, we address this complex scenario, focusing on issues of perioperative anesthesia management. Comprehensive preoperative cardiovascular assessments, with multidisciplinary input, may offer insights into structural cardiac pathophysiologic effects and transplant-related hemodynamic changes that impact new grafts. Active, effective hemodynamic monitoring and other measures are also essential during the perioperative period to ensure transplantation success and graft survival.