Anaesthetic management of a patient with severe tricuspid regurgitation undergoing live donor kidney transplantation

Background : Isolated severe structural tricuspid regurgitation (TR) is a rare condition and intraoperative worsening of TR led to management dilemmas during live donor kidney transplantation (KT). Case report : We are discussing anaesthetic management of a patient with isolated structural TR who underwent live donor kidney transplantation. Intraoperative use of noradrenaline caused significant derangements in haemodynamics and bradycardia produced prevented accurate noninvasive blood pressure monitoring. Conclusion : A pure vasoconstrictor like noradrenaline causes adverse haemodynamic effects when used to increase blood pressure in a patient with severe TR.