Vasoplegic syndrome during living donor kidney transplantation: a case report
10.3760/cma.j.cn421203-20240914-00192
- VernacularTitle:活体肾移植术中突发血管麻痹综合征1例
- Author:
Jiangwei ZHANG
1
;
Puxun TIAN
;
Chao CHEN
;
Xi'e XU
;
Yang LI
;
Liushi YAN
;
Jin ZHENG
;
Xiaoming DING
Author Information
1. 西安交通大学第一附属医院肾移植科，西安 710061
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Living donor;
Vasoplegic syndrome;
Vasoactive agent;
Delayed graft function
- From:
Chinese Journal of Organ Transplantation
2025;46(10):734-738
- CountryChina
- Language:Chinese
-
Abstract:
Department of Kidney Transplantation, the First Affiliated Hospital of Xi'an Jiaotong University reported a case of vasoplegic syndrome (VS). During a livingdonor kidney transplantation, the patient developed abrupt hypotension immediately after allograft reperfusion, with blood pressure dropping to 50/30 mmHg (1 mmHg=0.133 kPa). The diagnosis of VS was confirmed through multidisciplinary consultation, integration of clinical indicators, and ultrasonographic assessment. Management included vasopressor therapy (dopamine, norepinephrine, and epinephrine), fluid resuscitation, blood transfusion, and albumin administration. Hemodynamics were subsequently stabilized, and kidney allograft function returned to normal. At more than three months of followup, both kidney function and blood pressure remained stable.
