• Br J Anaesth · Dec 2018

    Case Reports

    Are high-sensitivity troponins always reliable? Donor-recipient troponin transfusion in liver transplantation.

    • A L Vilchez-Monge, I Garutti, C J Lisbona, L Olmedilla, and J M Perez-Peña.
    • Department of Anaesthesiology and Intensive Care, General University Hospital Gregorio Marañon, Madrid, Spain. Electronic address: a.vilchezmonge@gmail.com.
    • Br J Anaesth. 2018 Dec 1; 121 (6): 1212-1214.

    AbstractBlood troponins are used to diagnose perioperative myocardial injury and infarction. During liver transplantation, a passive donor-recipient troponin transfer with the graft may result in an increase of troponins in the transplant recipient questioning the diagnosis of myocardial injury. We present a case of liver transplantation with sudden elevation of recipient's serum troponin levels immediately after graft reperfusion and its subsequent normalization in which myocardial damage and other non-ischaemic potential causes were ruled out. Patient consent for publication was obtained prior to submission of the manuscript.Copyright © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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