Becker's muscular dystrophy and orthotopic heart transplantation: perioperative considerations.
Patients with Becker's and Duchenne's muscular dystrophy occasionally have myocardial involvement leading to end-stage heart failure. Heart transplantation is established as an effective therapy. Achieving successful outcomes in this challenging group requires special consideration during the perioperative period to limit preoperative deconditioning, minimize anesthesia complications, and rapidly institute rehabilitation with appropriate precautions. We reviewed our recent experience with Becker's muscular dystrophy patients and discuss the management of perioperative issues specific to this patient group.
Komanapalli
Christopher B
CB
Department of Surgery, Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA.
Sera
Valerie
V
Slater
Matthew S
MS
Burdette
Melodie
M
Tripathy
Uttam
U
Brady
Glenn
G
Hegnell
Lars
L
Ravichandran
Pasala S
PS
Hershberger
Ray E
RE
Song
Howard K
HK
D000328:Adult; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000150:complications* / Q000601:surgery*; D019990:Perioperative Care / Q000379:methods*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors