Thoracic Segmental Anesthesia for Major Laparoscopic Abdominal Surgery in a Heart Transplant Recipient: A Case Report
Year: 2024
Type: article
Study design: Case Report
Abstract: We describe the case of a 72-year-old male suffering from Marfan syndrome, who, because of cardiac abnormalities correlated to the syndrome, received an orthotopic heart transplant four years ago. In 2024, he was diagnosed with right colon cancer. The decision to operate was difficult because of the elevated perioperative risk. Focused on the possible cardiologic and respiratory complications, we decided to proceed with neuraxial anesthesia during spontaneous breathing. This emergent anesthesiological strategy for open and laparoscopic abdominal surgery has the potential to abolish many risks related to general anesthesia. Right laparoscopic hemicolectomy was successfully performed, and no medical or surgical complications occurred in the postoperative period.
Source: Cureus
DOI: 10.7759/cureus.74309
Authors: Benedetta Basta, Davide Vailati, Luigi Mori, Carmelo Magistro, Giovanni Marino
Institution: ASST Melegnano e della Martesana
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404652828