CASE REPORTS   

Chirurgia 2010 December;23(6):257-60

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Using pulsatile perfusion during cardiopulmonary bypass for a patient with chronic renal dysfunction

Bingyang J. ¹, Young Qiang L. ², Jinping L. ¹, Cun L. ²

¹ Department of Cardiopulmonary Bypass, Fuwai Hospital and Cardiovasc Institute, Peking Union Medical College, Chinese Acad Med Sci, Beijing, China 2 Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University,Beijing, China

Cardiac surgery with cardiopulmonary bypass (CPB) is commonly perceived as a risk factor for decline in renal function, especially in patients with preoperative renal dysfunction. We report the case of a 69-year-old woman with congenital single renal dysplasia and creatinine of 155 µmol/L who underwent left atrial thrombectomy, mitral valves plasty and microwave ablation for atrial fibrillation. Pulsatile perfusion was used during heart arrest to minimize inflammatory response and improve perfusion to protect the kidney of this patient who had preoperative renal dysfunction. The patient had an uneventful postoperative recovery, avoided renal dialysis postoperatively, and was discharged from the hospital 10 days later.