We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Severe hypotension and postoperative cardiac arrest caused by 5-aminolevulinic acid: a case report.
- Authors
Miyazaki, Taishi; Taguchi, Shinya; Obata, Norihiko; Mizobuchi, Satoshi
- Abstract
Background: Although 5-aminolevulinic acid is useful for the photodynamic diagnosis of bladder tumors, it often causes severe intraoperative hypotension. We report a case of postoperative cardiac arrest in addition to severe intraoperative hypotension, probably owing to the use of 5-aminolevulinic acid. Case presentation: An 81-year-old Japanese man was scheduled to undergo transurethral resection of bladder tumor. The patient took 5-aminolevulinic acid orally 2 hours before entering the operating room. After the induction of anesthesia, his blood pressure decreased to 47/33 mmHg. The patient's hypotension did not improve even after noradrenaline was administered. After awakening from anesthesia, the patient's systolic blood pressure increased to approximately 100 mmHg, but approximately 5 hours after returning to the ward, cardiac arrest occurred for approximately 12 seconds. Conclusion: We experienced a case of postoperative cardiac arrest in a patient, probably owing to the use of 5-aminolevulinic acid. Although the cause of cardiac arrest is unknown, perioperative hemodynamic management must be carefully performed in patients taking 5-aminolevulinic acid.
- Subjects
BLADDER cancer; CARDIAC arrest; TRANSURETHRAL resection of bladder; HYPOTENSION; SYSTOLIC blood pressure; JAPANESE people
- Publication
Journal of Medical Case Reports, 2024, Vol 18, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/s13256-024-04589-x