• Sao Paulo Med J · Sep 2001

    Case Reports

    Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report.

    • F Ferrari, P Nascimento, and P T Vianna.
    • Department of Anesthesiology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, Brazil. fferrari@laser.com.br
    • Sao Paulo Med J. 2001 Sep 6; 119 (5): 184186184-6.

    ContextPatients with Alport's syndrome (causing 5% of end-stage renal disease) have a higher risk of heart conduction abnormalities.ObjectiveTo report a case of Alport's syndrome developing complete atrioventricular block during renal transplantation.Case ReportA 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.

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