Prolonged post-reperfusion syndrome during multivisceral organ transplantation in a pediatric patient: a case report.
10.4097/kjae.2014.66.6.467
- Author:
Yong Seok PARK
1
;
Jin Young OH
;
Bo Young HWANG
;
Youngjin MOON
;
Hwa Mi LEE
;
Gyu Sam HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kshwang@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Intestine;
Liver;
Metabolic acidosis;
Primary graft dysfunction;
Reperfusion;
Transplantation
- MeSH:
Acidosis;
Child;
Colon;
Duodenum;
Humans;
Hypothermia;
Intestinal Pseudo-Obstruction;
Intestines;
Liver;
Organ Transplantation*;
Pancreas;
Primary Graft Dysfunction;
Reperfusion;
Spleen;
Stomach;
Transplantation;
Transplants*
- From:Korean Journal of Anesthesiology
2014;66(6):467-471
- CountryRepublic of Korea
- Language:English
-
Abstract:
Multivisceral organ transplantation involves the transplantation of three or more abdominal organs, including small bowel, duodenum, stomach, liver, pancreas, colon, and so on. The large amounts of cold and acidic loading into systemic circulation from the graft during multivisceral organ transplantation may result in severe post-reperfusion syndrome (PRS). We describe here a 6-year-old pediatric patient with chronic intestinal pseudo-obstruction who experienced prolonged PRS and severe metabolic acidosis during seven abdominal organ transplantation including the liver, spleen, stomach, duodenum, small bowel, colon and pancreas. The hypotensive period lasted approximately 10 minutes after graft reperfusion and was accompanied by severe metabolic acidosis and hypothermia. Since PRS can be easily associated with adverse outcomes, such as poor early graft function and primary non-function, not only meticulous surveillance for aggravating factors for PRS but also their immediate correction were necessary in managing a pediatric patient undergoing multivisceral organ transplantation.
