A case of severe acute hyperkalemia during pre-anhepatic stage in living-related liver transplantation

Ryuji Kaku, Masaki Matsumi, Hiromi Fujii, Ichiro Ohashi, Satoshi Mizobuchi, Hiroshi Katayama, Kiyoshi Morita, Masahisa Hirakawa

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Abstract

We reported a case of severe acute hyperkalemia during pre-anhepatic stage in living-related liver transplantation. The serum potassium concentration was elevated from 5.1 mmol · l-1 7.3 mmol · l-1 after hepatic artery ligation. Inspite of administration of diuretics, calcium and glucose-insulin, T wave on ECG was elevated and premature ventricular contractions occurred frequently. Finally, ventricular tachycardia occurred three times. After hepatic vein ligation, in anhepatic stage, serum potassium decreased gradually to 3.7 mmol · l-1 and arrythmia disappeared. We consider that the main cause of hyperkalemia in this case is flowing out of potassium from the ischemic liver by surgical manipulation. It is necessary to take care of the change of serum potassium concentration not only in postreperfusion but also pre-anhepatic stage in living·related liver transplantation.

Original languageEnglish
Pages (from-to)1003-1006
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume51
Issue number9
Publication statusPublished - Sep 1 2002

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ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Kaku, R., Matsumi, M., Fujii, H., Ohashi, I., Mizobuchi, S., Katayama, H., Morita, K., & Hirakawa, M. (2002). A case of severe acute hyperkalemia during pre-anhepatic stage in living-related liver transplantation. Japanese Journal of Anesthesiology, 51(9), 1003-1006.