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Anesthetic Implication of Tricuspid Valve Replacement in a Patient With Acute Intermittent Porphyria Publisher Pubmed



Saberi K1 ; Salehi M2 ; Rahmanian M1 ; Bakhshandeh A1 ; Mahlabani M3
Authors
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Authors Affiliations
  1. 1. Department of Anesthesiology, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Iran
  3. 3. Std. Scientific Research Center, Exceptional Talent Development Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Annals of Cardiac Anaesthesia Published:2016


Abstract

Facing a patient with acute intermittent porphyria (AIP), there is narrow safety margin which circumscribe all the therapeutic actions including choice of drugs. This would become even more complicated when it comes to a stressful and drug.dependent process like a cardiopulmonary bypass. According to author'fs researches, no specific AIP case of tricuspid valve (TV) replacement is reported recently. Furthermore, fast.track anesthesia was safely used in this 37.year.old male known the case of AIP, who was a candidate for TV replacement and removing the port catheter. The patient was extubated subsequently, only 3 h after entering the Intensive Care Unit. © 2016 Annals of Cardiac Anaesthesia.