Coupled plasma filtration adsorption reduces serum bilirubine in a case of acute hypoxic hepatitis secondary to cardiogenic shock.
Hypoxic hepatitis (HH) is a severe complication of postoperative low output syndrome, associated with high mortality rates despite appropriate drug therapy. Recently several extracorporeal supportive techniques have become available. We describe the case of a 70-year-old woman who developed HH secondary to cardiogenic shock after cardiac surgery. CPFA proved to be a valid tool for concomitant hemodynamic support and organ replacement therapy.
Institute of Anesthesiology, Reanimation and Intensive Care Medicine, Magna Grecia University, Catanzaro, Italy.
Santo
S
Caroleo
Antonino S
AS
Rubino
Francesco
F
Tropea
Orlando
O
Bruno
Domenico
D
Vuoto
Bruno
B
Amantea
Attilio
A
Renzulli
D000208:Acute Disease; D000327:Adsorption; D000368:Aged; D001663:Bilirubin / Q000097:blood*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006439:Hemodynamics; D006440:Hemofiltration / Q000379:methods*; D006505:Hepatitis / Q000097:blood / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D000860:Hypoxia / Q000097:blood / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D009102:Multiple Organ Failure / Q000209:etiology; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000503:physiopathology; D016896:Treatment Outcome
D001663:Bilirubin