Anesthesia for Cardiac and Pulmonary Transplantation

Glyn D. Williams, Chandra Ramamoorthy, Anshuman Sharma

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This chapter begins with a review of the indications for heart transplantation, then presents recipient evaluation and pretransplant management. Then, donor management, surgical technique, and anesthetic management are discussed. Immunosuppression and rejection therapy are then summarized. Next, heterotopic heart transplantation, combined heart and liver transplantation, and retransplantation are discussed, followed by a discussion of anesthetic management of children who have undergone heart transplant. The last part of the chapter focuses on lung transplantation, including indications, contraindications, and listing criteria; and then donor management, anesthetic management and surgical approach. A discussion of primary graft failure, surveillance procedures, surgical and medical complications including rejection and bronchiolitis obliterans follows. Finally, mortality and long-term survival after lung transplant in children are presented.

Original languageEnglish
Title of host publicationAnesthesia for Congenital Heart Disease
Subtitle of host publicationThird Edition
Number of pages25
ISBN (Electronic)9781118768341
ISBN (Print)9781118768259
StatePublished - Sep 25 2015


  • Bronchiolitis obliterans
  • Cardiomyopathy
  • Cystic fibrosis
  • Graft atherosclerosis
  • Heart-liver transplantation
  • Heart-lung transplantation
  • Heterotopic heart transplantation
  • Immunosuppression
  • Living donor lobar lung transplant
  • Pediatric heart transplantation
  • Pediatric lung transplantation
  • Primary graft failure
  • Pulmonary hypertension
  • Rejection


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