Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report
São Paulo med. j
;
119(5): 184-186, Sept. 2001. ilus
Artigo
em Inglês
| LILACS
| ID: lil-299289
ABSTRACT
CONTEXT Patients with Alport's syndrome (causing 5 percent of end-stage renal disease) have a higher risk of heart conduction abnormalities. OBJECTIVE:
To report a case of Alport's syndrome developing complete atrioventricular block during renal transplantation. CASE REPORT A 21-year-old man with chronic renal failure due to Alport's syndrome was submitted to a renal transplantation under epidural anesthesia and, during the intraoperative period, a complete atrioventricular block was diagnosed and promptly treated with a transcutaneous pacemaker. This extensive sympathetic block can contribute towards disturbances in the heart conduction system, particularly in patients with chronic renal disease in hemodialysis. Even in patients with a normal preoperative electrocardiogram or no conduction system disturbances, some degree of atrioventricular block, including complete atrioventricular block, can occur. In this situation, a transcutaneous pacemaker provides rapid and effective treatment in the operating room, thereby permitting the planning of a definitive treatment
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Transplante de Rim
/
Bloqueio Cardíaco
/
Falência Renal Crônica
/
Nefrite Hereditária
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual Paulista/BR
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