The Efficacy of Continuous Hemodiafiltration (CHDF) in the Management of Two Cases or Chronic Renal Failure in the Early Postoperative Period Following Cardiovascular Surgery.
10.4326/jjcvs.24.392
- VernacularTitle:慢性腎不全合併症例に対する心大血管手術の術後早期におけるＣＨＤＦ（持続的血液ろ過透析）の有用性
- Author:
Toshiro Ohbuchi
;
Takeshi Miyairi
;
Hirotaka Inaba
;
Akira Mizuno
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(6):392-394
- CountryJapan
- Language:Japanese
-
Abstract:
The early postoperative use of continuous hemodiafiltration (CHDF) was effective in the postoperative management of two patients with chronic renal failure (CRF) undergoing cardiovascular operation. The first case was a 74-year-old man with a ruptured abdominal aortic aneurysm who underwent emergency Y-shaped artificial graft replacement. The second case was a 55-year-old man with aortic valve stenosis and regurgitation who underwent aortic valve replacement with a mechanical cardiac valve. Both patients had had chronic renal failure for several years before the operation, and the second patient had been on intermittent hemodialysis. Although a large amount of blood transfusion was needed postoperatively in both cases, CHDF enabled us to maintain the electrolytes in the normal range and control the water balance. The influence on the hemodynamics was minimized by adjusting the filtration rate. In conclusion, CHDF is useful for the management of CRF in the early postoperative period following cardiovascular surgery.
