Liver transplantation for cardiac failure in patients with hereditary hemorrhagic telangiectasia

• Published in: Liver transplantation Vol. 11; no. 7; pp. 834 - 838
• Main Authors: Thevenot, Thierry, Vanlemmens, Claire, Di Martino, Vincent, Becker, Marie‐Claude, Denue, Pierre‐Olivier, Kantelip, Bernadette, Bresson‐Hadni, Solange, Heyd, Bruno, Mantion, Georges, Miguet, Jean‐Philippe
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-07-2005; Wiley
• Subjects: Angiography; Cardiac Output, High; Cardiac Output, High - etiology; Ecology, environment; Female; Health; Hepatic Artery; Hepatic Artery - diagnostic imaging; Hepatic Veins; Hepatic Veins - diagnostic imaging; Humans; Life Sciences; Liver Diseases; Liver Diseases - complications; Liver Diseases - diagnostic imaging; Liver Diseases - surgery; Liver Transplantation; Middle Aged; Radiography, Abdominal; Telangiectasia, Hereditary Hemorrhagic; Telangiectasia, Hereditary Hemorrhagic - complications; Telangiectasia, Hereditary Hemorrhagic - diagnostic imaging; Telangiectasia, Hereditary Hemorrhagic - surgery; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 1527-6465; 1527-6473
• DOI: 10.1002/lt.20463

Liver involvement in hereditary hemorrhagic telangiectasia may lead to high‐output cardiac failure. Few data have been reported on orthotopic liver transplantation (OLT) for these patients. In this paper, we describe two patients treated by OLT as a salvage procedure for cardiac failure, and we review literature on this subject. Our two patients resumed normal cardiac function after OLT. This procedure appears to be a promising therapy with good long‐term results despite dissection difficulties encountered due to the collateral arterial network reorganization. (Liver Transpl 2005;11:834–838.)