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Anestesia Analgesia Reanimación
versión On-line ISSN 1688-1273
Resumen
BIANCHI, Domingo. Anestesia para cirugía no cardíaca en pacientes con trasplante de corazón: nuestro primer caso. Anest Analg Reanim [online]. 2000, vol.16, n.1, pp.34-37. ISSN 1688-1273.
We present a case of the first noncardiac surgery in a cardiac trasplant patient made in our country. It was a boy of 7 years, 19 kg of weight, with a primitive congenital cardiopathy, a ventricular septal defect (VSD), with concommitment insufficient aortic valve. In its evolution installed severe miocardic failure, wich motivated a cardiac trasplant. In the fifth day of the postoperative period presented an extensive subdural hematoma and was operating on as an urgency. The anesthetic risk of these patients is low, as long as we respect the care of the following factors: · maintenance of inmunosupresion; · prevention of infections; · diagnostic and treatment of rejection; · care of the pharmacologic aspects in relation to cardiac denervation