title: Intraoperative veno-arterial hemofiltration during miniaturized extracorporeal bypass.
abstract: We report the case of a 71-year-old man with creatinine clearance of 41 mL/min and acute anterior ST-segment elevation who underwent urgent coronary artery bypass grafting. A continuous intraoperative veno-arterial hemofiltration with high volumes of exchange (35 mL/kg/h) was used in a series for a miniaturized extracorporeal bypass system to minimize the inflammatory response and to protect the kidneys of this patient who had preoperative renal dysfunction. The patient had an uneventful postoperative recovery.
authors.affiliation: Division of Cardiac Surgery, St. Andrea Hospital, University of Rome La Sapienza, Rome, Italy. capmd@katamail.com
authors.forename: Fabio
authors.initials: F
authors.lastname: Capuano
authors.forename: Roberto
authors.initials: R
authors.lastname: Bianchini
authors.forename: Massimo
authors.initials: M
authors.lastname: Goracci
authors.forename: Antonino
authors.initials: A
authors.lastname: Roscitano
authors.forename: Remo
authors.initials: R
authors.lastname: Luciani
authors.forename: Caterina
authors.initials: C
authors.lastname: Simon
authors.forename: Leda
authors.initials: L
authors.lastname: Giusti
authors.forename: Riccardo
authors.initials: R
authors.lastname: Sinatra
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D015199:Extracorporeal Membrane Oxygenation; D006440:Hemofiltration; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D007432:Intraoperative Period; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D051437:Renal Insufficiency / Q000150:complications / Q000628:therapy*