CASE REPORT
Year : 2014  |  Volume : 8  |  Issue : 2  |  Page : 287-289

Laparoscopic cholecystectomy in a cardiac transplant recipient


Department of Anesthesia, Lilavati Hospital and Research Centre, Bandra Reclamation, Mumbai, Maharashtra, India

Correspondence Address:
Saloni Paranjape
402, Akruti Nova B, N.S. Phadke Marg, Andheri East, Mumbai - 400 069, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.130752

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An increasing number of cardiac transplants are being carried out around the world. With increasing longevity, these patients present a unique challenge to non-transplant anesthesiologists for a variety of transplant related or incidental surgeries. The general considerations related to a cardiac transplant recipient are the physiological and pharmacological problems of allograft denervation, the side-effects of immunosuppression, the risk of infection and the potential for rejection. A thorough understanding of the physiology of a denervated heart, need for direct vasoactive agents and post-transplant morbidities is essential in anesthetic management of such a patient. Here, we describe a case of a heart transplant recipient who presented for a cholecystectomy at our center.


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