Thoracic aorta aneurysm open repair in heart transplant recipient; the anesthesiologist's perspective

Fabrizio Monaco, Alessandro Oriani, Monica De Luca, Elena Bignami, Alessandra Sala, Roberto Chiesa, Germano Melissano, Alberto Zangrillo

Research output: Contribution to journalArticle

Abstract

Many years following transplantation, heart transplant recipients may require noncardiac major surgeries. Anesthesia in such patients may be challenging due to physiological and pharmacological problems regarding allograft denervation and difficult immunosuppressive management. Massive hemorrhage, hypoperfusion, renal, respiratory failure, and infections are some of the most frequent complications related to thoracic aorta aneurysm repair. Understanding how to optimize hemodynamic and infectious risks may have a substantial impact on the outcome. This case report aims at discussing risk stratification and anesthetic management of a 54-year-old heart transplant female recipient, affected by Marfan syndrome, undergoing thoracic aorta aneurysm repair.

Original languageEnglish
Pages (from-to)201-204
Number of pages4
JournalAnnals of Cardiac Anaesthesia
Volume19
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • Heart transplant recipient
  • Open repair
  • Thoracic aortic aneurysm

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

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