Cardio-renal harmony: managing ischemic heart disease in renal transplantation

Abstract

We report the case of a 54-year-old female with ESRD planned for cadaveric renal transplantation highlights the critical role of the anesthesiologist in managing perioperative challenges during renal transplantation in a patient with ischemic heart disease (IHD), diabetes mellitus (DM), and hypertension (HTN). It emphasizes the importance of a multidisciplinary approach, involving anesthesiologists, nephrologists, intensivists, and cardiologists, to optimize patient condition and ensure a successful surgical outcome. Renal transplantation, a standard treatment for end-stage renal disease (ESRD), requires careful anesthesia management, particularly in emergencies like cadaveric kidney transplants, where limited time for optimization poses additional risks. Preoperative assessment and risk mitigation are essential to minimizing complications and improving perioperative outcomes.

Keywords: kidney transplant; ESRD; intensivist; anesthesiologist

Citation: Veer S, Salim R, Gholap S, Jani H. Cardio-renal harmony: managing ischemic heart disease in renal transplantation. Anaesth. pain intensive care 2025;29(7):820-822. DOI: 10.35975/apic.v29i7.2980

Received: May 09, 2025; Revised: October 26, 2025; Accepted: January 01, 2025