International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Report
 
Video-assisted lung lobectomy in cardiac transplant recipient: Dynamic monitoring of cardiac output and fluid responsiveness
Marco Rispoli1, Giuseppe Rossi1, Moana Nespoli1, Dario Mattiacci1, Marianna Esposito1, Antonio Corcione1, Salvatore Buono1
1Department of Anaesthesia and Surgical Intensive Care Unit, "Azienda Ospedaliera dei Colli - Monaldi" Medical Hospital, Naples, Italy.

doi:10.5348/ijcri-201614-CR-10601

Address correspondence to:
Giuseppe Rossi
Department of Anaesthesia and Surgical Intensive Care Unit
"Azienda Ospedaliera dei Colli - Monaldi" Medical Hospital
Naples
Italy

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Rispoli M, Rossi G, Nespoli M, Mattiacci D, Esposito M, Corcione A, Buono S. Video-assisted lung lobectomy in cardiac transplant recipient: Dynamic monitoring of cardiac output and fluid responsiveness. Int J Case Rep Images 2016;7(2):97–101.


Abstract
Introduction: Heart transplant recipients have a significantly higher risk of any "de novo" cancer due to immunosuppressive therapy and also they have an increasing risk of infections. Carcinoma of lung represents one of the five most common malignancies in these transplant populations. Patients' comorbidities may request high invasive intraoperative monitoring, as well as neuraxial analgesia to avoid acute pain stress response, exposing patients to iatrogenic nosocomial infection.
Case Report: Our patient was admitted to thoracic surgery ward for lung adenocarcinoma and video assisted lung lobectomy was planned. She received heart transplantation 15 years before due to idiopathic dilatative cardiomyopathy and she had chronic rejection six years after transplant treated with corticosteroid therapy.
Conclusion: Anesthesia management can be difficult in cardiac transplant recipients due to a potentially impaired heart function and hypotension should be avoided due to preload dependence of denervated cardiac graft. We used a minimally invasive, monitoring of hemodynamic and fluid responsiveness for intraoperative management of the patient.

Keywords: Continuous cardiac output, Fluid responsiveness, Heart transplant recipient, Uncalibrated pulse contour-derived monitoring


[HTML Full Text]   [PDF Full Text]

Author Contributions
Marco Rispoli – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Giuseppe Rossi – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Moana Nespoli – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dario Mattiacci – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marianna Esposito – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Antonio Corcione – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Salvatore Buono – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Marco Rispoli et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About IJCRI line Aim and Scope line Sections line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.