[Laparoscopic cholecystectomy in patients previously treated with heart transplantation. A clinical case].
A 46-years old patient who had already undergone cardiac transplantation was scheduled for laparoscopic cholecystectomy following a diagnosis of cholelithiasis. In this particular case we were not faced with any problems even in presence of a denervated heart. Since the patient was immnosuppressed, we had to look for the best compromise between the need of monitoring closely the most important vital parameters and contemporarily reducing invasivity as much as possible. Capnometry was of paramount importance, enabling us to prevent and to correct high paCO2 values. The rapid recovery of the patient allowed us to begin with food intake and oral immunosuppressive therapy already 24 hours after the operation and to discharge the patient on the third day after surgery. Laparoscopic cholecystectomy represented a successful choice and a satisfying procedure both for the anaesthesiologist and for the patient, particularly regarding the minimal invasivity and the rapid recovery, which were considered of great importance in the immunodepressed patient.
Cristalli
A
A
II Servizio Anestesia e Rianimazione, Ospedale Niguarda Ca' Grande, Milano.
Visigalli
M M
MM
Milazzo
F
F
Castelli
L
L
De Gasperi
A
A
D017081:Cholecystectomy, Laparoscopic; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged
Colecistectomia per via laparoscopica in paziente precedentemente sottoposto a trapianto cardiaco. Caso clinico.