AN ANESTHETIC MANAGEMENT OF TRICUSPID VALVE REPLACEMENT IN A PATIENT WITH ACUTE INTERMITTENT PORPHYRIA

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Published: 2015-11-11

Page: 72-76


KIANOUSH SABERI *

Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

MEHRDAD SALEHI

Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

MEHRZAD RAHMANIAN

Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

ALI REZA BAKHSHANDEH

Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.

MOHAMMAD AMIN GORJI MAHLABANI

Student’s Scientific Research Center (SSRC) and Exceptional Talent Development Center (ETDC) of Tehran, University of Medical Sciences, Iran

*Author to whom correspondence should be addressed.


Abstract

Facing a patient with acute intermittent porphyria (AIP), there are narrow safety margins 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 cardiopulmonary bypass (CPB). According to author’s researches no specific AIP case of TV replacement was reported recently. Furthermore, fast track anesthesia was safely used in this 37 years-old male known case of AIP who was a candidate for TV Replacement and removing the port catheter. The patient was extubated subsequently, only 3 hours after entering the ICU.

Keywords: Acute intermittent porphyria, cardiac surgery, tricuspid valve replacement surgery


How to Cite

SABERI, K., SALEHI, M., RAHMANIAN, M., BAKHSHANDEH, A. R., & MAHLABANI, M. A. G. (2015). AN ANESTHETIC MANAGEMENT OF TRICUSPID VALVE REPLACEMENT IN A PATIENT WITH ACUTE INTERMITTENT PORPHYRIA. Journal of International Research in Medical and Pharmaceutical Sciences, 7(2), 72–76. Retrieved from https://ikprress.org/index.php/JIRMEPS/article/view/1772

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