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Case Report
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| 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 | ||||||
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1Department of Anaesthesia and Surgical Intensive Care Unit, "Azienda Ospedaliera dei Colli - Monaldi" Medical Hospital, Naples, Italy.
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| 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. |
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Abstract
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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. | |
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Keywords:
Continuous cardiac output, Fluid responsiveness, Heart transplant recipient, Uncalibrated pulse contour-derived monitoring
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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 |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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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. |
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