International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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International Journal of Medical Anesthesiology

2022, Vol. 5, Issue 1, Part A
Two consecutive major lower limb operations in a heart-lung transplant recipient during COVID pandemic: A case report and literature review


Author(s): Bhuvanshyam J Bhaktavatsalam, P Hambly, J Ferguson, J Day and S Galitzine

Abstract:
Introduction: Combined heart and lung transplant is a rare procedure performed for patients with congenital heart disease and end stage pulmonary disease. Due to improvement in survival, non-cardiac surgeries are frequently performed in these patients and anaesthetists are involved in their perioperative management. Apart from increasing the physical and mental health risks, COVID-19 pandemic has posed an additional challenge to health care providers in the management of these immunosuppressed patients.
Case presentation: We report a case of a 64-year-old female patient with a previous combined heart and lung transplant who underwent two consecutive lower limb surgeries during COVID pandemic.
Conclusion: Meticulous preoperative assessment involving multidisciplinary team, knowledge of the pathophysiology of heart–lung transplant patients, choosing appropriate anaesthetic technique is vital in successful management of these patients. Psychological implications of COVID-19 pandemic in immunosuppressed patients should be considered.


DOI: 10.33545/26643766.2022.v5.i1a.341

Pages: 33-37 | Views: 170 | Downloads: 75

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How to cite this article:
Bhuvanshyam J Bhaktavatsalam, P Hambly, J Ferguson, J Day, S Galitzine. Two consecutive major lower limb operations in a heart-lung transplant recipient during COVID pandemic: A case report and literature review. Int J Med Anesthesiology 2022;5(1):33-37. DOI: 10.33545/26643766.2022.v5.i1a.341
International Journal of Medical Anesthesiology