Thoracic aorta aneurysm open repair in heart transplant recipient; the anesthesiologist’s perspective.
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Date
2016-01
Journal Title
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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.
Description
Keywords
Heart transplant recipient, Open repair, Thoracic aortic aneurysm
Citation
Monaco Fabrizio, Oriani Alessandro, Luca Monica De, Bignami Elena, Sala Alessandra, Chiesa Roberto, Melissano Germano, Zangrillo Alberto. Thoracic aorta aneurysm open repair in heart transplant recipient; the anesthesiologist’s perspective. Annals of Cardiac Anaesthesia. 2016 Jan; 19(1): 201-204.