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Case Reports
. 2024 May 1;16(5):e59490.
doi: 10.7759/cureus.59490. eCollection 2024 May.

Perioperative Use of Levosimendan in Hepatic Transplantation With Diastolic Heart Failure: A Case Report

Erick Villafán Vázquez  1   2 , Ricardo Acuña Razo  3 , Mayra Michelle Nuñez Rueda  4
Affiliations
Case Reports

Perioperative Use of Levosimendan in Hepatic Transplantation With Diastolic Heart Failure: A Case Report

Erick Villafán Vázquez et al. Cureus. .

Abstract

Levosimendan is a medication with a range of pharmacological effects, making it appropriate for use in several clinical settings, including advanced heart failure with pulmonary hypertension, cardiogenic shock, and acute heart failure. This case report details the perioperative management of a male in their 40s with a complex medical history, including primary hypoparathyroidism, cirrhosis, and severe pulmonary hypertension, who underwent urgent cadaveric donor liver transplantation. Information available on the perioperative use of levosimendan is still insufficient to be able to regulate behaviors that can guide its management on a regular basis.

Keywords: anesthesia; heart failure; levosimendan; perioperative anesthesia; transplant.

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Conflict of interest statement

The authors have declared that no competing interests exist.

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Figure 1
Figure 1. Anesthesia management for hepatic transplantation
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