Hypotension due to large pericardial effusion during kidney transplantation under general anesthesia: a case report

A 50-year-old man with a history of end-stage renal disease was admitted for emergent kidney transplantation from cadaver donor. During the operation, hypotension gradually developed. In spite of fluid resuscitation and inotropic support, hypotension was not corrected. Postoperative chest computed tomography scan showed a large pericardial effusion. Preoperative cardiac evaluation is very important in end-stage renal disease, and if intraoperative hypotension unresponsive to fluid resuscitation and inotropic therapy occurs, pericardial effusion should be considered.