Continuous hemodiafiltration during aortic arch aneurysm repair in chronic renal failure patient.
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 risk of significant thrombocytopenia.
Sugawara
Y
Y
II Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
Sato
O
O
Miyata
T
T
Kimura
H
H
Yasunaga
H
H
Suzuki
S
S
Makuuchi
M
M
D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D017583:Hemodiafiltration / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D014882:Water-Electrolyte Balance