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Anaesthetic challenges in pulmonary alveolar microlithiasis – a rare disease treated with bilateral lung transplantation, first case from India


Institute of Heart, Lung and Transplantation, Gleneagles Global Health City, Chennai, Tamil Nadu, India

Correspondence Address:
Pradeep Kumar
Consultant Cardiothoracic Transplant Anaesthesia and Critical Care, Institute of Heart, Lung and Transplantation, Gleneagles Global Health City, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_165_19

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Year : 2021  |  Volume : 24  |  Issue : 1  |  Page : 79-82

 

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Pulmonary Alveolar Microlithiasis (PAM) is a rare autosomal recessive end stage lung condition characterized by widespread alveolar deposition of calcium microliths. It is worth emphasis india has reported 80 cases out of 1022 cases worldwide but there is no report on lung transplant and and anaesthetic management in this category of patient. This report present the anaesthetic challenge in management of first indian patient with the diagnosis of PAM, who underwent bilateral lung transplantation. Bilateral lung transplantation is one of the most challenging surgeries that require the care of a cardiothoracic anesthesiologist. Utilization of extracorporeal circulation has allowed a safer performance of this procedure in patients with severe cardiopulmonary compromise. Intraoperative management is a pivotal part of the patient's care, as it contributes to the patient's overall outcome.






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Institute of Heart, Lung and Transplantation, Gleneagles Global Health City, Chennai, Tamil Nadu, India

Correspondence Address:
Pradeep Kumar
Consultant Cardiothoracic Transplant Anaesthesia and Critical Care, Institute of Heart, Lung and Transplantation, Gleneagles Global Health City, Chennai, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_165_19

Rights and Permissions

Pulmonary Alveolar Microlithiasis (PAM) is a rare autosomal recessive end stage lung condition characterized by widespread alveolar deposition of calcium microliths. It is worth emphasis india has reported 80 cases out of 1022 cases worldwide but there is no report on lung transplant and and anaesthetic management in this category of patient. This report present the anaesthetic challenge in management of first indian patient with the diagnosis of PAM, who underwent bilateral lung transplantation. Bilateral lung transplantation is one of the most challenging surgeries that require the care of a cardiothoracic anesthesiologist. Utilization of extracorporeal circulation has allowed a safer performance of this procedure in patients with severe cardiopulmonary compromise. Intraoperative management is a pivotal part of the patient's care, as it contributes to the patient's overall outcome.






[FULL TEXT] [PDF]*


        
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