Laparoscopic cholecystectomy in a cardiac transplant recipient.
An increasing number of cardiac transplants are being carried out around the world. With increasing longevity, these patients present a unique challenge to non-transplant anesthesiologists for a variety of transplant related or incidental surgeries. The general considerations related to a cardiac transplant recipient are the physiological and pharmacological problems of allograft denervation, the side-effects of immunosuppression, the risk of infection and the potential for rejection. A thorough understanding of the physiology of a denervated heart, need for direct vasoactive agents and post-transplant morbidities is essential in anesthetic management of such a patient. Here, we describe a case of a heart transplant recipient who presented for a cholecystectomy at our center.
Department of Anesthesia, Lilavati Hospital and Research Centre, Bandra Reclamation, Mumbai, Maharashtra, India.
Seema R
SR
Pandya
Department of Anesthesia, Lilavati Hospital and Research Centre, Bandra Reclamation, Mumbai, Maharashtra, India.
Saloni
S
Paranjape
Heart transplantation; immunosuppression; post-transplant surgery; recipient; transplant