Dissemin is shutting down on January 1st, 2025

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Medknow Publications, Annals of Cardiac Anaesthesia, 1(19), p. 201

DOI: 10.4103/0971-9784.173049

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

Journal article published in 2016 by Fabrizio Monaco, Alessandro Oriani, Monica De Luca, Elena Bignami, Alessandra Sala, Roberto Chiesa, Germano Melissano ORCID, Alberto Zangrillo
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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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.