Shy-Drager syndrome and severe unexplained intraoperative hypotension responsive to vasopressin.
case_report · Level V
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Abstract
We describe the first case of Shy-Drager syndrome diagnosed on the basis of intraoperative hemodynamic changes. The initial hypertension in the supine position followed by severe hypotension after hydralazine administration, ultimately responsive to vasopressin, led to a diagnosis of Shy-Drager syndrome. We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.
Medical subject headings
- Hypotension
- Intraoperative Complications
- Shy-Drager Syndrome
- Vasoconstrictor Agents
- Vasopressins