A Case of Acute Renal Failure Following Abdominal Aortic Surgery
10.4326/jjcvs.40.255
- VernacularTitle:腹部大動脈瘤術後の片側臀筋壊死から急性腎不全を発症した1例
- Author:
Manabu Shiraishi
;
Atsushi Yamaguchi
;
Ken-ichirou Noguchi
;
Hideo Adachi
- Publication Type:Journal Article
- Keywords:
rhabdomyolysis;
abdominal aortic aneurysm;
acute renal failure;
hemodialysis
- From:Japanese Journal of Cardiovascular Surgery
2011;40(5):255-258
- CountryJapan
- Language:Japanese
-
Abstract:
A 75-year-old man received a diagnosis of an abdominal aneurysm and underwent abdominal aortic replacement. His left internal iliac artery was sacrificed because of the difficulty of reconstruction. Rhabdomyolysis of the left gluteus muscle resulted in acute renal failure (ARF) postoperatively. Continuous hemodiafiltration (CHDF) was performed from postoperative day (POD) 1 through POD 10 for the management of his ARF. During CHDF, the maximum value of serum creatinine was 5.10 mg/dl and it returned to the normal range of 1.10 mg/dl on POD 20. We conclude that the early deployment of CHDF was effective in rhabdomyolysis-induced ARF.
