Tachycardia-polyuria syndrome after swan-ganz catheterization in liver transplant patient - A case report -
- Author:
Sang-Kwon HEO
1
;
Kyoung-Sun KIM
;
Jeong-Hyun LEE
;
Jun-Gol SONG
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2021;16(3):284-289
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Tachycardia-polyuria syndrome is characterized by polyuria occurring because of tachycardia with a heart rate of ≥ 120 beats/min lasting ≥ 30 min. We report such a case occurring after swan-ganz catheterization.Case: A 41-year-old male was scheduled for living-donor liver transplantation. After general anesthesia, atrial fibrillation occurred during swan-ganz catheterization, and polyuria developed 1 h later. During the anhepatic phase, the patient’s heart rate increased further, and cardioversion was performed. After a normal sinus rhythm was achieved, the patient’s urine output returned to normal.
Conclusions:The patient’s polyuria seemed related to the iatrogenic atrial fibrillation occurring during swan-ganz catheterization. Although we did not measure atrial natriuretic peptide, an increase in its concentration may have been the main mechanism of polyuria, as natriuresis was observed.
