Cardiac failure associated with hypocalcemia.
Rapid transfusion of citrated whole blood was associated with acute hypotension and a rising central venous pressure in a patient undergoing pelvic exenteration and hemipelvectomy. Evidence of cardiac failure was accompanied by a precipitous decrease in serum ionized calcium (Ca++) concentration. When the rate of blood transfusion was slowed, arterial blood pressure returned to the control level and serum Ca++ increased.
D000328:Adult; D000771:Anesthesia, Intravenous; D001784:Blood Gas Analysis; D001794:Blood Pressure; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology*; D011229:Preanesthetic Medication; D065227:Transfusion Reaction; D014517:Ureteral Obstruction / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000601:surgery