Abstract
A 16-year-old female patient with IgA deficiency was scheduled for a living renal transplantation which donor was her mother. Recipient's past history revealed with no other clinical difficulties, but she had received blood transfusion during hemodialysis therapy. Anesthesia was maintained nitrous oxide, oxygen and halothane. We were concerned about the anaphylactic reaction between anti-IgA antibodies in recipient blood and IgA in donor's kidney, following to the recirculation of renal blood flow. However, at that time, ECG showed only wandering pacemaker, non-significant Q wave in II lead, and tachycardia after recirculation, there were no other complica-tions. Fortunately, in this case, anaphylactic reaction did not occur. We thought this might be due to the complete defect of IgA antibody in recipient blood, coexisting IgE deficiency, or sufficient wash of donor' s kidney before transplantation. And any infection, especially in upper airway, were not complicated in the postoperative period.
