Intraoperative veno-arterial hemofiltration during miniaturized extracorporeal bypass.
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.
Capuano
Fabio
F
Division of Cardiac Surgery, St. Andrea Hospital, University of Rome La Sapienza, Rome, Italy. capmd@katamail.com
Bianchini
Roberto
R
Goracci
Massimo
M
Roscitano
Antonino
A
Luciani
Remo
R
Simon
Caterina
C
Giusti
Leda
L
Sinatra
Riccardo
R
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*