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Controversies in the Postoperative Management of the Critically Ill Heart Transplant Patient

Shen, Tao MBBS*,†; Huh, Marc H. MD*; Czer, Lawrence S. MD; Vaidya, Ajay MD; Esmailian, Fardad MD; Kobashigawa, Jon A. MD; Nurok, Michael MBChB, PhD*,†

doi: 10.1213/ANE.0000000000004220
Critical Care and Resuscitation

Heart transplant recipients are susceptible to a number of complications in the immediate postoperative period. Despite advances in surgical techniques, mechanical circulatory support (MCS), and immunosuppression, evidence supporting optimal management strategies of the critically ill transplant patient is lacking on many fronts. This review identifies some of these controversies with the aim of stimulating further discussion and development into these gray areas.

From the Departments of *Anesthesiology

Surgery, Cedars-Sinai Heart Institute, Los Angeles, California

Division of Cardiology, Cedars-Sinai Heart Institute, Los Angeles, California.

Published ahead of print 4 April 2019.

Accepted for publication April 4, 2019.

Funding: None.

The authors declare no conflicts of interest.

Reprints will not be available from the authors.

Address correspondence to Tao Shen, MBBS, Departments of Anesthesiology and Surgery, Cedars-Sinai Heart Institute, 127 S San Vicente Blvd, Los Angeles, CA 90048. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
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