Noncardiac Surgery After Heart Transplantation

NONCARDIAC SURGERY AFTER HEART TRANSPLANTATION

A57-year-old man with hypertension, elevated serum cholesterol, and mild renal insufficiency presents for laparoscopic cholecystectomy. His past medical history is significant for idiopathic dilated cardiomyopathy followed by cardiac transplantation at age 55 years. His medications include nifedipine, tacrolimus, azathioprine, prednisone, atorvastatin, and omeprazole.