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J. Cardiothorac. Vasc. Anesth. · Jan 2023
ReviewReview of Postoperative Care for Heart Transplant Recipients.
- Nian Chih Hwang and Cumaraswamy Sivathasan.
- Department of Anaesthesiology, Singapore General Hospital, Singapore; Department of Cardiothoracic Anesthesia, National Heart Centre, Singapore. Electronic address: hwang.nian.chih@singhealth.com.sg.
- J. Cardiothorac. Vasc. Anesth. 2023 Jan 1; 37 (1): 112126112-126.
AbstractThe early postoperative management strategies after heart transplantation include optimizing the function of the denervated heart, correcting the causes of hemodynamic instability, and initiating and maintaining immunosuppressive therapy, allograft rejection surveillance, and prophylaxis against infections caused by immunosuppression. The course of postoperative support is influenced by the quality of allograft myocardial protection prior to implantation and reperfusion, donor-recipient heart size matching, surgical technique of orthotopic heart transplantation, and patient factors (eg, preoperative condition, immunologic compatibility, postoperative vasomotor tone, severity and reversibility of pulmonary vascular hypertension, pulmonary function, mediastinal blood loss, and end-organ perfusion). This review provides an overview of the early postoperative care of recipients and includes a brief description of the surgical techniques for orthotopic heart transplantation.Copyright © 2022 Elsevier Inc. All rights reserved.
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