title: Patient selection and preoperative evaluation for transplant surgery.
abstract: Candidates for abdominal transplant undergo a pretransplant evaluation to identify associated conditions that may require intervention or that may influence a patient's candidacy for transplant. Coronary artery disease is prevalent in candidates for abdominal organ transplantation. The optimal approach to identify and manage coronary artery disease in the peri-transplant period is currently unclear. In liver transplant candidates portopulmonary hypertension and hepatopulmonary syndrome should be screened for. Identification of the patient who is too sick to benefit from transplant is problematic; with no good evidence available decisions should be individualized and made after multidisciplinary discussion.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: findlay.james@mayo.edu.
authors.forename: James Y
authors.initials: JY
authors.lastname: Findlay
mesh_terms: D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis; D016030:Kidney Transplantation; D017114:Liver Failure, Acute / Q000175:diagnosis; D016031:Liver Transplantation; D016377:Organ Transplantation; D018579:Patient Selection; D011300:Preoperative Care
keywords: Coronary artery disease; Kidney transplantation; Liver transplantation; Patient selection; Preoperative testing; Pretransplant evaluation; Solid-organ transplantation