{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:49:25Z","timestamp":1777448965942,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>In cases of uncontrollable hepatic hemorrhage or acute hepatic failure after trauma, liver transplantation can be a lifesaving procedure. Traumatic tricuspid valve injuries are rare, and symptoms can range from indolent to acute right heart failure. When concomitant, traumatic liver transplant and tricuspid injuries have significant physiologic interplay and management implications. We present a 14-year-old male injured in an all-terrain vehicle accident, who sustained a devastating disruption of the common bile duct and celiac artery injury, leading to acute hepatic failure, necessitating a two-stage liver transplantation. He was subsequently found to have a severe traumatic tricuspid injury, which required tricuspid valve replacement. At 4\u00a0years post-injury, he is without major complications. This is the first case presentation of the cooccurrence of these complex pathologies. Importantly, we demonstrate the complex decision-making surrounding traumatic liver transplantation and timing of subsequent tricuspid valve repair, weighing the complex interplay of these 2 pathologies.<\/jats:p>","DOI":"10.1177\/00031348241241716","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T17:00:51Z","timestamp":1711126851000},"page":"1781-1783","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Two-Stage Liver Transplantation and Tricuspid Valve Replacement After Blunt Trauma in a Pediatric Patient"],"prefix":"10.1177","volume":"90","author":[{"given":"Marshall W.","family":"Wallace","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary J.","family":"Kastenberg","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Swendiman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron W.","family":"Eckhauser","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Section of Pediatric Cardiothoracic Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Rodriguez-Davalos","sequence":"additional","affiliation":[{"name":"Division of Transplantation and Advanced Hepatobiliary Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie W.","family":"Russell","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"bibr1-00031348241241716","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000731"},{"key":"bibr2-00031348241241716","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31822b1035"},{"key":"bibr3-00031348241241716","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2021.05.049"},{"key":"bibr4-00031348241241716","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12385"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241716","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241241716","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:39:37Z","timestamp":1777379977000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241241716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,22]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/00031348241241716"],"URL":"https:\/\/doi.org\/10.1177\/00031348241241716","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,22]]}}}