Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia
Infectious complications are common among heart transplant recipients due to immune suppressive therapy mandatorily given to prevent organ rejection. We share our experience regarding an orthotopic heart transplant recipient who underwent craniotomy and evacuation of intracerebral abscess under gene...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-09-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772682 |
| _version_ | 1827304625931288576 |
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| author | Abraham L. Chawnchhim Neha Sharma Chetna Goel Charu Mahajan |
| author_facet | Abraham L. Chawnchhim Neha Sharma Chetna Goel Charu Mahajan |
| author_sort | Abraham L. Chawnchhim |
| collection | DOAJ |
| description | Infectious complications are common among heart transplant recipients due to immune suppressive therapy mandatorily given to prevent organ rejection. We share our experience regarding an orthotopic heart transplant recipient who underwent craniotomy and evacuation of intracerebral abscess under general anesthesia in our operation theater. An orthotopic heart transplant recipient presented with headache, fever, and left-sided homonymous hemianopia. Noncontrast computed tomography (NCCT) of the head showed a right occipital space-occupying lesion suggestive of an abscess. Craniotomy and evacuation of abscess was successfully performed under general anesthesia. There are several concerns pertinent to orthotopic heart transplant recipients mainly due to denervated heart status and immune suppressive therapy, which poses perioperative challenge. We report successful anesthetic management of this case. |
| first_indexed | 2024-03-07T22:02:46Z |
| format | Article |
| id | doaj.art-ecf1298d01654b5990b8d915a7541b16 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-04-24T17:42:19Z |
| publishDate | 2023-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-ecf1298d01654b5990b8d915a7541b162024-03-27T23:42:30ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2023-09-01100321221410.1055/s-0043-1772682Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous HemianopiaAbraham L. Chawnchhim0Neha Sharma1Chetna Goel2Charu Mahajan3Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaInfectious complications are common among heart transplant recipients due to immune suppressive therapy mandatorily given to prevent organ rejection. We share our experience regarding an orthotopic heart transplant recipient who underwent craniotomy and evacuation of intracerebral abscess under general anesthesia in our operation theater. An orthotopic heart transplant recipient presented with headache, fever, and left-sided homonymous hemianopia. Noncontrast computed tomography (NCCT) of the head showed a right occipital space-occupying lesion suggestive of an abscess. Craniotomy and evacuation of abscess was successfully performed under general anesthesia. There are several concerns pertinent to orthotopic heart transplant recipients mainly due to denervated heart status and immune suppressive therapy, which poses perioperative challenge. We report successful anesthetic management of this case.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772682orthotopic heart transplant recipientcerebral abscesshomonymous hemianopiacraniotomy |
| spellingShingle | Abraham L. Chawnchhim Neha Sharma Chetna Goel Charu Mahajan Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia Journal of Neuroanaesthesiology and Critical Care orthotopic heart transplant recipient cerebral abscess homonymous hemianopia craniotomy |
| title | Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia |
| title_full | Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia |
| title_fullStr | Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia |
| title_full_unstemmed | Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia |
| title_short | Orthotopic Heart Transplant Recipient Presenting with Sudden Onset Homonymous Hemianopia |
| title_sort | orthotopic heart transplant recipient presenting with sudden onset homonymous hemianopia |
| topic | orthotopic heart transplant recipient cerebral abscess homonymous hemianopia craniotomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772682 |
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