Monaco, FabrizioOriani, AlessandroLuca, Monica DeBignami, ElenaSala, AlessandraChiesa, RobertoMelissano, GermanoZangrillo, Alberto2016-02-102016-02-102016-01Monaco 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.http://imsear.searo.who.int/handle/123456789/172358Many 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.enHeart transplant recipientOpen repairThoracic aortic aneurysmArticle