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Indian J Anaesth. 2017 Sep;61(9):768-774. doi: 10.4103/ija.IJA_390_17.

Post-cardiac transplant recipient: Implications for anaesthesia.

Indian journal of anaesthesia

Minati Choudhury

Affiliations

  1. Department of Cardiac Anesthesia, Cardiothoracic Sciences Centre, AIIMS, New Delhi, India.

PMID: 28970636 PMCID: PMC5613603 DOI: 10.4103/ija.IJA_390_17

Abstract

The annual heart transplant rate is gradually increasing worldwide. A proportion of this patient population present for an elective or emergency surgery which may or may not be related to the transplanted heart. A MEDLINE search for heart transplant, anaesthesia, adult, paediatric and surgery was conducted to review anaesthetic management for heart transplant recipients. Anaesthesia and perioperative management are different in these cases. A thorough understanding of the physiology of denervated heart, post-transplant morbidities and pharmacology of immunosuppressants is essential for best perioperative management and improved post-operative outcome.

Keywords: Adult; anaesthesia; heart transplant recipient; paediatric; surgery

Conflict of interest statement

There are no conflicts of interest.

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