Anesthetic implication of tricuspid valve replacement in a patient with acute intermittent porphyria

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 t...

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Detalles Bibliográficos
Autores principales: Saberi, Kianoush, Salehi, Mehrdad, Rahmanian, Mehrzad, Bakhshandeh, Ali Reza, Mahlabani, Mohammad Amin Gorji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900341/
https://www.ncbi.nlm.nih.gov/pubmed/27052088
http://dx.doi.org/10.4103/0971-9784.179623
Descripción
Sumario: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's 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.

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