Successful Kidney Transplantation Under Combined Spinal-Epidural Anesthesia in a Patient With a History of Left Pneumonectomy Due to Bronchiectasis.
A 33-year-old man with end-stage kidney disease from biopsy-proven AA amyloidosis was assessed for preemptive living-donor kidney transplantation.
Clinical pearl
In a carefully selected transplant candidate with markedly reduced respiratory reserve after pneumonectomy, individualized anesthetic planning may allow kidney transplantation under combined spinal-epidural anesthesia.