CASE REPORTS   

Panminerva Medica 1998 March;40(1):63-5

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Continuous hemodiafiltration during aortic arch aneurysm repair in chronic renal failure patient

Sugawara Y., Sato O., Miyata T., Kimura H., Yasunaga H., Suzuki S.*, Makuuchi M.

From the II Department of Surgery and Department of Traumatology and Critical Care* Faculty of Medicine, University of Tokyo, Japan

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We ­report ­the suc­cess­ful ­repair of a dis­tal aor­tic ­arch aneu­rysm in a ­patient ­with chron­ic ­renal fail­ure fol­low­ing aneu­rys­me­ct­o­my ­for a rup­tured abdom­i­nal aor­ta. Perioperative ­use (dur­ing ­and up to 47 ­hrs ­after ­the oper­a­tion) of con­tin­u­ous hemo­di­a­fil­tra­tion ­was us­eful ­for con­trol­ling ­fluid bal­ance ­and ure­mia with­out ­any com­pli­cat­ing hemo­dy­nam­ic instabil­ity. However, ­this ­should be restrict­ed to ­the ­first ­two or ­three ­days ­after ­the oper­a­tion, ­since it pos­es a ­risk of sig­nif­i­cant throm­bo­cy­to­pe­nia.