title: [Anesthesiologic management for lower pulmonary lobectomy intervention in patients with heart transplant. A clinical case].
abstract: The Authors describe the case of a patient who had undergone human allograft cardiac transplant seven months before inferior pulmonary lobectomy for neoplasia. The pulmonary neoplasia had been revealed by X-rays during the periodic check-up examinations. Because of the high risk of infection following corticosteroid and immunosuppressive therapy, sterile equipment for invasive monitoring and oro-tracheal intubation has been used. The denervated heart presents peculiar haemodynamic and pharmacological aspects that the anaesthetist must pay attention to in the conduction of a general anaesthesia; moreover, arrhythmias are common in the recently transplanted heart. Anaesthesia has been induced and maintained by an association propofol-fentanyl that showed a good cardiocirculatory stability; neither arrhythmias have happened, nor the need for drugs different from those of anaesthesia and resuscitation have occurred.
authors.forename: E
authors.initials: E
authors.lastname: Domenegati
authors.forename: R
authors.initials: R
authors.lastname: Ciccone
authors.forename: F
authors.initials: F
authors.lastname: Reali
authors.forename: C
authors.initials: C
authors.lastname: Reposi
authors.forename: D
authors.initials: D
authors.lastname: De Amici
authors.forename: M
authors.initials: M
authors.lastname: Rissotti
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000768:Anesthesia, General; D005283:Fentanyl; D016027:Heart Transplantation; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D015742:Propofol
chemical_list: D005283:Fentanyl; D015742:Propofol
vernacular_title: Condotta anestesiologica per intervento di lobectomia polmonare inferiore in paziente cardiotrapiantato. Caso clinico.