Multi-disciplinary approach to perioperative risk assessment and post-transplant management for liver transplantation in a patient at risk for Brugada syndrome. Issue 5 (May 2019)

• Record Type: Journal Article
• Authors: Ward, Rachael A.; Ajayi, Teminioluwa; Aylward, Tanya; Byrns, Jennifer; Summers, Bryant B; Wilder, Julius
• Is Part Of: Journal of perioperative practice. Volume 29:Issue 5(2019)
• Page Start: 140
• Page End: 146
• Publication Date: 2019-05
• Subjects: Implantable Cardiac Defibrillator -- Non-alcoholic steatohepatisis -- Orthotopic liver transplantation -- Brugada syndrome -- Perioperative; Operating room nursing -- Periodicals; 617.9192
• DOI: 10.1177/1750458918796013
• Languages: English
• ISSNs: 2515-7949

Abstract

Brugada syndrome, an autosomal dominant genetic disorder, is characterised by abnormal electrocardiogram findings and increased risk of ventricular tachyarrhythmias and sudden cardiac death. Our report describes the multi-disciplinary perioperative management of a 28-year-old patient presenting to the Duke Transplant Center with a familial sodium channel gene SCN51 mutation concerning Brugada syndrome. We discuss the preparatory work-up, medication review and appropriate post-surgical follow-up for patients undergoing liver transplant surgery with cardiac monitoring.