Acute Abdominal Aortic Occlusion: Two Cases of Successful Prophylaxis of Myonephropathic Metabolic Syndrome.

VernacularTitle:急性大動脈閉塞症の２治験例
Author: Tomoki Shimokawa ; Yukio Okazaki ; Satoshi Ohtsubo ; Masakatsu Hamada ; Yuji Katayama ; Shinya Higuchi ; Tsuyoshi Itoh
Publication Type:Journal Article
Keywords: myonephropathic metabolic syndrome (MNMS)
From:Japanese Journal of Cardiovascular Surgery 1996;25(3):195-198
CountryJapan
Language:Japanese
Abstract: We report two cases, a 58-year-old male and a 60-year-old female with acute aortic occlusion probably ascribable to intracardiac thrombosis associated with atrial fibrillation. Thrombectomy was performed at about 5.5 hours and 4 hours respectively, after the onset of occlusion, and revascularization was successful. To prevent MNMS after revascularization, about 2, 000ml of blood was taken from the femoral vein of the male patient, and 1, 000ml of blood from the female patient, and this blood was returned in the form of abluted erythrocytes in transfusion through a cell saver to the patients. We suspected slight myoglobinuria after the operations, but they did not develop MNMS because a urine volume of about 3, 000ml was maintained by administration of infusion solution and diuretics and by replenishment of electrolytes and correction of acidosis. It was concluded that the technique involving the removal of a large volume of blood from distal veins and its transfusion through a cell saver was effective in preventing MNMS.