Abstract
Heart failure is a disease affecting 6.2 million adults in the United States, resulting
in morbidity and mortality in the short and long term. While options such as mechanical
circulatory support and transplantation are considered a solution when medical management
is not sufficient, heart transplantation (HTX) is regarded as the better option with
a lower incidence of multiorgan failure. A limiting step for heart transplantation
is the inadequate donor pool so options like donation after circulatory death and
xenotransplantation have emerged as alternatives. The cardiac anesthesiologist plays
a pivotal role in the perioperative management of both donors and recipients and a
full understanding of the nature of the disease, pathophysiology, and perioperative
management is paramount to the success of a heart transplantation program. The authors
include an index case to illustrate the multidisciplinary approach to the disease
and the implications of managing these complex patients presenting to the operating
room.
Keywords
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- When the “Most Precious Gift Ever” Fails Early On.Journal of Cardiothoracic and Vascular Anesthesia
