Anesthetic management of the patient undergoing heart transplantation

Best Pract Res Clin Anaesthesiol. 2017 Jun;31(2):189-200. doi: 10.1016/j.bpa.2017.07.006. Epub 2017 Jul 25.

Abstract

Cardiac transplantation is the treatment of choice for patients with end-stage heart failure. Over the years, significant advances in patient selection, donor optimization and selection, and optimization of immunosuppression strategies have markedly improved outcomes. In this review, we highlight patient selection, donor management and procurement, heart transplantation procedure, and intraoperative and postoperative management of heart transplants.

Keywords: donor heart management and procurement; heart transplantation; intraoperative anesthesia management; left ventricular assist devices; overview of heart transplantation procedure; postoperative management of heart transplantation; right heart failure.

Publication types

  • Review

MeSH terms

  • Anesthesia / methods*
  • Anesthetics / administration & dosage*
  • Heart Failure / diagnosis
  • Heart Failure / drug therapy
  • Heart Failure / surgery*
  • Heart Transplantation / methods*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Monitoring, Intraoperative / methods*
  • Patient Selection
  • Postoperative Care / methods*
  • Tissue Donors

Substances

  • Anesthetics
  • Immunosuppressive Agents