title: Eroded valves, recurrent pleural effusions, and ultimately heart-liver transplant.
abstract: A patient with eroded tricuspid and pulmonic valves, who eventually developed elevated right atrial and systemic venous pressure that led to hepatic cirrhosis and recurrent pleural effusion, is presented. The complex issues involved over a long period in this patient, who ultimately required combined heart and liver transplant, are discussed.
authors.affiliation: Tufts Heart Valve Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.
authors.forename: Alamelu
authors.initials: A
authors.lastname: Ramamurthi
authors.forename: Natesa G
authors.initials: NG
authors.lastname: Pandian
authors.forename: Michael S
authors.initials: MS
authors.lastname: Kiernan
authors.forename: Hannah
authors.initials: H
authors.lastname: Lee
authors.forename: David
authors.initials: D
authors.lastname: DeNofrio
mesh_terms: D000328:Adult; D016027:Heart Transplantation; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D016896:Treatment Outcome; D014463:Ultrasonography