title: Anesthesia management for cesarean section 10 years after heart transplantation: a case report.
abstract: BACKGROUND
  Pregnancy after organ transplantation is becoming increasingly common. However, reports of the anesthesia for such patients are rare. Heart transplant recipients are always accompanied with pathophysiological changes and present anesthesiologists with challenge.
  
  
  METHODS
  We reported a case of anesthesia management of gravida undergoing cesarean section 10 years after cardiac transplantation. We used two points spinal and epidural anesthesia, combined with phenylephrine throughout the surgery. The course was absolutely successful and both mother and baby got good results.
  
  
  RESULTS
  Physiology of heart transplant recipients and key points of anesthesia management were discussed.
  
  
  CONCLUSIONS
  Spinal anesthesia can be performed in heart transplant recipients, however, we have to think twice before anesthesia for this kind of patients.
authors.affiliation: Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028 Guangdong China.
authors.forename: Xiaofei
authors.initials: X
authors.lastname: Qi
authors.affiliation: Department of Anesthesiology, Sun Yat-Sen Cardiovascular Hospital of Shenzhen, Shenzhen, 518028 Guangdong China.
authors.forename: Xiaolei
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028 Guangdong China.
authors.forename: Xiaolei
authors.initials: X
authors.lastname: Huang
authors.affiliation: Department of Gynecology and Obstetrics, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028 Guangdong China.
authors.forename: Chenhong
authors.initials: C
authors.lastname: Wang
authors.affiliation: Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028 Guangdong China.
authors.forename: Yin
authors.initials: Y
authors.lastname: Gu
authors.affiliation: Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028 Guangdong China.
authors.forename: Yuantao
authors.initials: Y
authors.lastname: Li
keywords: Anesthesia; Cardiac transplantation; Cesarean section; Pregnancy