Pulmonary dysfunction after lung transplantation: the dilemma of coexisting mitral regurgitation.
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2014-12
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A case of MR progression after single-lung transplant as a significant contributor to postoperative respiratory failure is reported. Pre-existing MR may progress due to the decompressive effects of lung transplantation on RV dimension and consequent alteration of MV geometry. This case highlights the importance of intraoperative TEE findings, especially pertaining to valvulopathies in the setting of lung transplantation. Postoperative surveillance of significant findings is imperative when any new symptoms are being investigated.
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McCartney, Sharon L, Brian J Colin, R Duane Davis, J Mauricio Del Rio and Madhav Swaminathan (2014). Pulmonary dysfunction after lung transplantation: the dilemma of coexisting mitral regurgitation. J Cardiothorac Vasc Anesth, 28(6). pp. 1696–1699. 10.1053/j.jvca.2014.06.017 Retrieved from https://hdl.handle.net/10161/15980.
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Sharon Lorraine McCartney
Madhav Swaminathan
My overall goal is to elucidate mechanisms of and risk factors for perioperative acute kidney injury in patients undergoing heart surgery with emphasis the role of early recovery of kidney function. A special area of interest is the phenomenon of left ventricular diastolic dysfunction. We have successfully developed an algorithm to help simplify the detection of diastolic dysfunction using echocardiography during heart surgery. A future goal is to explore interventions that help prevent or reduce the severity of diastolic dysfunction postoperatively.
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