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

Post-cardiac transplant recipient: Implications for anaesthesia

Minati Choudhury  1
Affiliations
Review

Post-cardiac transplant recipient: Implications for anaesthesia

Minati Choudhury. Indian J Anaesth. 2017 Sep.

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.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Toyoda Y, Guy TS, Kashem A. Present status and future perspectives of heart transplantation. Circ J. 2013;77:1097–110. - PubMed
    1. Esposito S, Renzulli A, Agozzino L, Thomopoulos K, Piccolo M, Maiello C, et al. Late complications of heart transplantation: An 11-year experience. Heart Vessels. 1999;14:272–6. - PubMed
    1. First MR. Cadaveric organ procurement – An overview of two aspects: Donor hospital networks, and minority donation. Transplant Proc. 1997;29:70–2. - PubMed
    1. Stover EP, Siegel LC. Physiology of the transplanted heart. Int Anesthesiol Clin. 1995;33:11–20. - PubMed
    1. Bjerke RJ, Mangione MP. Asystole after intravenous neostigmine in a heart transplant recipient. Can J Anaesth. 2001;48:305–7. - PubMed