[Cardiovascular operations in patients with perioperative reduced kidney function].
Acute renal failure (ARF) following cardiovascular surgery represents a serious complication in view of the multimorbidity in such patients. 8 out of 16 patients with ARF requiring hemodialysis after cardiac surgery died; the degree of preoperative renal insufficiency could not be recognized as predisposing factor. 17 out of 21 patients with ARF following aortic vascular surgery died; the severity of the preoperative disease seems to be of prognostic value. Open heart surgery had to be performed in 9 patients out of the chronic dialysis program; perioperative complications did not occur, suggesting that cardiovascular operations can be performed without increased risk in this patient group.
Abteilung Herz- und Gefässchirurgie, Albert-Ludwigs-Universität, Freiburg i. Br.
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G
Fraedrich
R
R
Buob
W
W
Hörl
V
V
Schlosser
D058186:Acute Kidney Injury / Q000209:etiology*; D002318:Cardiovascular Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D006435:Renal Dialysis; D012307:Risk Factors
Kardiovasculäre Operationen bei Patienten mit perioperativ eingeschränkter Nierenfunktion.