Anesthesia Management in Aortic Dissection in Patients Undergoing Kidney Transplant.
Kidney transplant is a last resort to increase the life expectancy and quality of life in patients with renal failure. Aortic dissection is a disease that requires emergency intervention; it is characterized by sudden life-threatening back or abdominal pain. In the case described, constant chest pain that increased with respiration was present on examination of a 28-year-old man (85 kg, 173 cm) who presented at our emergency department complaining of severe back pain. He had undergone a kidney transplant in 2004 from his mother (live donor). He was diagnosed with acute Type II aortic dissection and was scheduled for emergent surgery. Because there were no surgical or anesthetic complications, the patient with 79 and 89 minutes aortic cross-clamping and cardiopulmonary bypass durations was sent, intubated, to intensive care unit. When nephrotoxic agents are avoided and blood flow is stabilized, cardiovascular surgery with cardio-pulmonary bypass may be performed seamlessly in patients who have undergone a kidney transplant.
From the Department of Anesthesiology and Reanimation, Inonu University, Faculty of Medicine, Malatya, Turkey.
Muharrem
M
Ucar
Feray
F
Erdil
Mukadder
M
Sanlı
Mustafa Said
MS
Aydogan
Mahmut
M
Durmus
D000208:Acute Disease; D000759:Adjuvants, Anesthesia; D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D000072226:Computed Tomography Angiography; D004638:Emergency Treatment; D005283:Fentanyl; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D008738:Methyl Ethers; D015742:Propofol; D012307:Risk Factors; D000077149:Sevoflurane; D016896:Treatment Outcome
D000759:Adjuvants, Anesthesia; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D005283:Fentanyl; D015742:Propofol