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Sao Paulo Medical Journal

Print version ISSN 1516-3180On-line version ISSN 1806-9460

Abstract

FERRARI, Fábio; NASCIMENTO JUNIOR, Paulo do  and  VIANNA, Pedro Thadeu Galvão. Complete atrioventricular block during renal transplantation in a patient with Alport's syndrome: case report. Sao Paulo Med. J. [online]. 2001, vol.119, n.5, pp.184-186. ISSN 1516-3180.  http://dx.doi.org/10.1590/S1516-31802001000500007.

CONTEXT: Patients with Alport's syndrome (causing 5% 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.

Keywords : Anesthesia; Renal transplantation; Complication [atrioventricular block].

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