Orthotopic liver transplantation in a malignant hyperthermia susceptible patient

Annette Schmidt, Irene Tzanova, Andrea M.K. Köbler, Gregor J.F. Wisser, Rainer Kentner

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We present a patient with hepatitis C and D and hepatocellular carcinoma who underwent preoperative evaluation for orthotopic liver transplantation. In his past medical history, he reported a life-threatening event during tonsillectomy in 1975. Intubation was impossible due to extreme jaw muscle tension, followed by excessive elevation in body temperature, tachycardia, and coma for a few days. We evaluated him for malignant hyperthermia, according to the European Malignant Hyperthermia Group Protocol, and found him highly positive in both the halothane and caffeine test, respectively. Three months later, we performed an orthotopic liver transplantation. During retransplantation 4 years later, due to ischemic-type biliary lesions, he suffered massive intraoperative bleeding. Blood products, as well as coagulation factors and aprotinin, were well tolerated. Anesthesia was performed in a trigger-free total intravenous technique without dantrolene prophylaxis, but dantrolene was readily available in sufficient quantities in the operating room. The patient did not encounter a malignant hyperthermia crisis in either perioperative period.

Original languageEnglish
Pages (from-to)558-561
Number of pages4
JournalJournal of clinical anesthesia
Volume17
Issue number7
DOIs
StatePublished - Nov 1 2005
Externally publishedYes

Keywords

  • Anesthesia
  • Aprotinin
  • Malignant hyperthermia
  • Orthotopic liver transplantation

Fingerprint Dive into the research topics of 'Orthotopic liver transplantation in a malignant hyperthermia susceptible patient'. Together they form a unique fingerprint.

  • Cite this