CASE REPORT
Year : 2016  |  Volume : 10  |  Issue : 2  |  Page : 42-44

Cardiac surgery in renal transplanted patient : A case report


Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India

Correspondence Address:
Naveen G Singh
Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, 9th Block Jayanagar, Bangalore-560069, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-9090.192250

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Cardiac surgery causes high mortality among post-renal-transplant patients. These patients are on steroids, which can accelerate atherosclerosis, and on immunosuppressive drugs, which expose the patient to infection. Here we report a case of a post-renal-transplant patient who underwent off-pump coronary artery bypass graft surgery with favorable outcome. In the present case, perioperative renal dysfunction was prevented by maintaining strict asepsis and adequate renal perfusion, by titrating the fluid based on pulmonary artery pressures, by maintaining urine output greater than 1 ml/kg/h, by avoiding cardiopulmonary bypass, and by titrating drugs according to the bispectral index, which resulted in early extubation and better outcome of the patient.


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