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REVIEW ARTICLE
Year : 2017  |  Volume : 61  |  Issue : 9  |  Page : 768-774

Post-cardiac transplant recipient: Implications for anaesthesia


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

Correspondence Address:
Minati Choudhury
Department of Cardiac Anesthesia, Room No. 8, 7th Floor, Cardiothoracic Sciences Centre, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_390_17

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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.


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