The Egyptian Journal of Cardiothoracic Anesthesia

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

Cardiac surgery in renal transplanted patient : A case report


PS Nagaraja, Naveen G Singh, N Sathish, CG Prabhu Shankar, V Manjunath 
 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

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.


How to cite this article:
Nagaraja P S, Singh NG, Sathish N, Prabhu Shankar C G, Manjunath V. Cardiac surgery in renal transplanted patient : A case report.Egypt J Cardiothorac Anesth 2016;10:42-44


How to cite this URL:
Nagaraja P S, Singh NG, Sathish N, Prabhu Shankar C G, Manjunath V. Cardiac surgery in renal transplanted patient : A case report. Egypt J Cardiothorac Anesth [serial online] 2016 [cited 2021 Apr 18 ];10:42-44
Available from: http://www.ejca.eg.net/article.asp?issn=1687-9090;year=2016;volume=10;issue=2;spage=42;epage=44;aulast=Nagaraja;type=0