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Case Reports
. 2021 Apr 13;59(3):717-719.
doi: 10.1093/ejcts/ezaa309.

Severe gastroparesis after orthotopic heart transplantation

Philipp Angleitner  1 , Michael A Arnoldner  2 , Andreas O Zuckermann  1 , Arezu Z Aliabadi-Zuckermann  1
Affiliations
Case Reports

Severe gastroparesis after orthotopic heart transplantation

Philipp Angleitner et al. Eur J Cardiothorac Surg. .

Abstract

We present a case of severe gastroparesis in a recipient of orthotopic heart transplantation. Although a rare condition after heart transplantation, it is a potential cause of significant morbidity, including vomiting, aspiration and pneumonia. Moreover, impaired gastric emptying alters the pharmacokinetics of immunosuppressive medication with increased risk of severe side effects. Herein, we describe a diagnostic and therapeutic strategy that was successfully applied in a patient with gastroparesis.

Keywords: Cyclosporine; Gastroparesis; Heart transplantation; Tacrolimus.

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