Anesthetic considerations in pediatric renal autotransplantation
Abstract Background Renal autotransplantation is a complex procedure involving reimplantation of the renal artery and vein at a different site. Anesthetic management of renal autotransplant is challenging because of associated morbidities and intraoperative hemodynamic changes. Case presentation We...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | Ain Shams Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42077-022-00292-5 |
| _version_ | 1798005215640682496 |
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| author | Hemlata Kapoor Milin Shah Mohan K. Terdal |
| author_facet | Hemlata Kapoor Milin Shah Mohan K. Terdal |
| author_sort | Hemlata Kapoor |
| collection | DOAJ |
| description | Abstract Background Renal autotransplantation is a complex procedure involving reimplantation of the renal artery and vein at a different site. Anesthetic management of renal autotransplant is challenging because of associated morbidities and intraoperative hemodynamic changes. Case presentation We present a case of a 14-month-old male who had severe hypertension and cardiomyopathy due to renal artery stenosis. Echocardiography reported dilated left atrium and left ventricle, moderate to severe left ventricular systolic dysfunction, and a left ventricular ejection fraction of 30%. The renal artery and renal vein were anastamosed to the great vessels. Anesthetic management included maintaining normal baseline diastolic pressure, systemic vascular resistance, and preload and avoiding tachycardia. Milrinone infusion was used. Conclusions Anesthetic management was challenging as adequate perfusion pressures had to be maintained while keeping the patient hemodynamically stable. |
| first_indexed | 2024-04-11T12:35:34Z |
| format | Article |
| id | doaj.art-795182dd3c05424ea745c5822e271c77 |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-04-11T12:35:34Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-795182dd3c05424ea745c5822e271c772022-12-22T04:23:38ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2022-12-011411310.1186/s42077-022-00292-5Anesthetic considerations in pediatric renal autotransplantationHemlata Kapoor0Milin Shah1Mohan K. Terdal2Department of Anaesthesiology, Kokilaben Dhirubhai Ambani Hospital and Research InstituteDepartment of Anaesthesiology, Kokilaben Dhirubhai Ambani Hospital and Research InstituteDepartment of Anaesthesiology, Kokilaben Dhirubhai Ambani Hospital and Research InstituteAbstract Background Renal autotransplantation is a complex procedure involving reimplantation of the renal artery and vein at a different site. Anesthetic management of renal autotransplant is challenging because of associated morbidities and intraoperative hemodynamic changes. Case presentation We present a case of a 14-month-old male who had severe hypertension and cardiomyopathy due to renal artery stenosis. Echocardiography reported dilated left atrium and left ventricle, moderate to severe left ventricular systolic dysfunction, and a left ventricular ejection fraction of 30%. The renal artery and renal vein were anastamosed to the great vessels. Anesthetic management included maintaining normal baseline diastolic pressure, systemic vascular resistance, and preload and avoiding tachycardia. Milrinone infusion was used. Conclusions Anesthetic management was challenging as adequate perfusion pressures had to be maintained while keeping the patient hemodynamically stable.https://doi.org/10.1186/s42077-022-00292-5RenalAutograftsAnesthesiaHypertensionCardiomyopathiesTransplantation |
| spellingShingle | Hemlata Kapoor Milin Shah Mohan K. Terdal Anesthetic considerations in pediatric renal autotransplantation Ain Shams Journal of Anesthesiology Renal Autografts Anesthesia Hypertension Cardiomyopathies Transplantation |
| title | Anesthetic considerations in pediatric renal autotransplantation |
| title_full | Anesthetic considerations in pediatric renal autotransplantation |
| title_fullStr | Anesthetic considerations in pediatric renal autotransplantation |
| title_full_unstemmed | Anesthetic considerations in pediatric renal autotransplantation |
| title_short | Anesthetic considerations in pediatric renal autotransplantation |
| title_sort | anesthetic considerations in pediatric renal autotransplantation |
| topic | Renal Autografts Anesthesia Hypertension Cardiomyopathies Transplantation |
| url | https://doi.org/10.1186/s42077-022-00292-5 |
| work_keys_str_mv | AT hemlatakapoor anestheticconsiderationsinpediatricrenalautotransplantation AT milinshah anestheticconsiderationsinpediatricrenalautotransplantation AT mohankterdal anestheticconsiderationsinpediatricrenalautotransplantation |