[Transient complete atrioventricular block during renal transplantation]

Area of Science:

• Nephrology
• Cardiology
• Anesthesiology

Background:

• Renal transplantation is a common procedure.
• Donor kidney preservation is crucial for graft survival.
• University of Wisconsin's solution is widely used for organ preservation.

Observation:

• A patient developed transient complete atrioventricular block twice post-transplant.
• The patient received anesthesia with sevoflurane.
• The donor kidney was perfused with University of Wisconsin's solution.

Findings:

• Adenosine in the University of Wisconsin's solution was identified as the likely cause of atrioventricular block.
• The atrioventricular block occurred transiently after kidney reperfusion.

Implications:

• Clinicians should monitor for atrioventricular block and bradycardia after renal transplantation when using University of Wisconsin's solution.
• Further research may explore strategies to mitigate adenosine-related cardiac complications during organ preservation.