Valve Replacement in an Anuric Patient with Chronic Renal Failure: 1 Case Report.
- Author:
Si Hoon KIM
1
;
Moon Sub KWAK
;
Sun Hi LEE
;
Jae Gil PARK
;
Woong CHIN
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Catholic University Medical College.
- Publication Type:Case Report
- Keywords:
Renal failure, Chronic;
Dialysis;
Heart valve replacement
- MeSH:
Adult;
Cardiopulmonary Bypass;
Coronary Artery Disease;
Dialysis;
Female;
Humans;
Kidney Failure, Chronic*;
Mitral Valve;
Mitral Valve Insufficiency;
Perioperative Care;
Peritoneal Dialysis;
Prevalence;
Thoracic Surgery;
Water-Electrolyte Balance
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(6):588-590
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It is now generalized to perform cardiac surgery in the patients with end-stage renal disease. The growing number of patients with chronic renal failure wake us up to the need to prepare for proper management. There are not only the prevalence of coronary artery disease, but also a great amount of valve dysfunction exist in this group. Peritoneal dialysis may be one of the obstacles for cardiopulmonary bypass but it is not a great hindrance in cardiac surgery with careful preparation and well organized perioperative care. The author has performed mitral valve replacement in a 33-year-old anuric female patient with chronic renal failure and severe mitral insufficiency. Preoperatively, the patient was kept in adequate fluid and electrolyte balance using peritoneal dialysis. Peritoneal dialysis continued and regulated according to the laboratory data in this patient during and after the surgery. She recovered well showing an uneventful course and was discharged on postoperative 1 th day.
