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dc.contributor.authorUludağ Yanaral, Tümay
dc.contributor.authorKaraaslan, Pelin
dc.contributor.authorUzunoğlu, Emine
dc.contributor.authorAtalay, Yunus Oktay
dc.contributor.authorTobias, Joseph Drew
dc.date.accessioned2021-06-10T07:29:39Z
dc.date.available2021-06-10T07:29:39Z
dc.date.issued2021en_US
dc.identifier.citationUludağ Yanaral, T., Karaaslan, P., Uzunoğlu, E., Atalay, Y. O. ve Tobias, J. D. (2021). Liver transplantation in a child with kartagener syndrome: A case report. International Medical Case Reports Journal, 14, 295-299. https://dx.doi.org/10.2147/IMCRJ.S311843en_US
dc.identifier.issn1179-142X
dc.identifier.urihttps://dx.doi.org/10.2147/IMCRJ.S311843
dc.identifier.urihttps://hdl.handle.net/20.500.12511/7120
dc.description.abstractBackground: Kartagener syndrome (KS) is a rare genetic disorder consisting of the triad of situs inversus, chronic sinusitis, and bronchiectasis. Although there are previous reports regarding the anaesthetic considerations in KS, none have included liver transplantation. Case Presentation: An 11-year-old boy with a diagnosis of KS underwent liver transplantation due to extrahepatic biliary atresia. Previous diagnostic imaging confirmed situs inversus and the absence of an inferior vena cava. The patient's peak airway pressure intermittently increased intraoperatively from 15 to 30 cm H2O due to increased pulmonary secretions, which required frequent suctioning of the endotracheal tube. Intraoperative volume resuscitation included 200 mL of 5% albumin, 5 units of erythrocyte suspension and 3 units of fresh frozen plasma. Intermittently, a norepinephrine infusion was required to maintain the MAP. Coagulation function was monitoring using the thromboelastogram to guide the use of blood products including fresh frozen plasma. At the end of the surgery, the patient was transferred to the intensive care unit. He was discharged from the intensive care unit on postoperative day 5, and from the hospital on postoperative day 28. He continues to do well with normal liver function 23 months after surgery. Conclusion: Despite the risk of pulmonary related to airway secretions and exacerbation of hemodynamic instability related to anatomical variations in the inferior vena cava anatomy, KS patients can be safely anesthetized with careful planning and attention of the disease process, even for complex surgical procedures such as liver transplantation.en_US
dc.language.isoengen_US
dc.publisherDove Medical Press Ltden_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial 3.0 Unported*
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/*
dc.subjectAnesthesiaen_US
dc.subjectChilden_US
dc.subjectKartagener Syndromeen_US
dc.subjectLiver Transplantationen_US
dc.subjectSitus Inversusen_US
dc.titleLiver transplantation in a child with kartagener syndrome: A case reporten_US
dc.typearticleen_US
dc.relation.ispartofInternational Medical Case Reports Journalen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalıen_US
dc.authorid0000-0003-3917-8183en_US
dc.authorid0000-0002-5273-1871en_US
dc.authorid0000-0001-9146-0915en_US
dc.authorid0000-0001-9928-9956en_US
dc.identifier.volume14en_US
dc.identifier.startpage295en_US
dc.identifier.endpage299en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.2147/IMCRJ.S311843en_US
dc.identifier.scopusqualityQ3en_US


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