Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report

Myoung Jin Ko; Dongju Shin; Hyunseong  Lee; Hyojoong Kim; Sang Eun  Lee; Se Hun Kim

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RMJ. 2019; 44(3): 649-651

Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report

Myoung Jin Ko, Dongju Shin, Hyunseong Lee, Hyojoong Kim, Sang Eun Lee, Se Hun Kim.

Abstract
A 50-year-old man with a history of end-stage renal disease was admitted for emergent kidney transplantation from cadaver donor. During the operation, hypotension gradually developed. In spite of fluid resuscitation and inotropic support, hypotension was not corrected. Postoperative chest computed tomography scan showed a large pericardial effusion. Preoperative cardiac evaluation is very important in end-stage renal disease, and if intraoperative hypotension unresponsive to fluid resuscitation and inotropic therapy occurs, pericardial effusion should be considered.

Key words: Kidney transplantation, end stage renal disease, pericardial effusion, uremic pericarditis.

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How to Cite this Article

Pubmed Style

Ko MJ, Shin D, Lee H, Kim H, Lee SE, Kim SH. Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. RMJ. 2019; 44(3): 649-651.

Web Style

Ko MJ, Shin D, Lee H, Kim H, Lee SE, Kim SH. Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. https://www.rmj.org.pk/?mno=34921 [Access: October 30, 2025].

AMA (American Medical Association) Style

Ko MJ, Shin D, Lee H, Kim H, Lee SE, Kim SH. Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. RMJ. 2019; 44(3): 649-651.

Vancouver/ICMJE Style

Ko MJ, Shin D, Lee H, Kim H, Lee SE, Kim SH. Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. RMJ. (2019), [cited October 30, 2025]; 44(3): 649-651.

Harvard Style

Ko, M. J., Shin, . D., Lee, . H. . ., Kim, . H., Lee, . S. E. & Kim, . S. H. (2019) Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. RMJ, 44 (3), 649-651.

Turabian Style

Ko, Myoung Jin, Dongju Shin, Hyunseong Lee, Hyojoong Kim, Sang Eun Lee, and Se Hun Kim. 2019. Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report. Rawal Medical Journal, 44 (3), 649-651.

Chicago Style

Ko, Myoung Jin, Dongju Shin, Hyunseong Lee, Hyojoong Kim, Sang Eun Lee, and Se Hun Kim. "Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report." Rawal Medical Journal 44 (2019), 649-651.

MLA (The Modern Language Association) Style

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