Remarkable improvement of hemodynamics by continuous hemodiafiltration in patients after operation for thoracic aortic dissection.
Severe circulatory failure after cardiovascular surgery is occasionally difficult to treat and the mortality risk is high. Systemic inflammatory response syndrome (SIRS) is one of the complications resulting in circulatory failure and, continuous hemodiafiltration (CHDF) seems to be a potentially effective treatment to improve the critical condition by removing proinflammatory cytokines. We present two recent cases of SIRS with critical circulatory failure which were successfully treated by CHDF after operation for thoracic aortic dissection.
Munakata
Mamoru
M
Department of Cardiovascular Surgery, Aomori Rosai Hospital, Hachinohe, Japan.
Itaya
Hiroyuki
H
Daitoku
Kazuyuki
K
Ono
Yuichi
Y
D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D017583:Hemodiafiltration; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D011182:Postoperative Care; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome