The change in the venous concentration of amino acids in normal male and female adults was studied. After the brief fast (about 40 hours) except for a higher concentration of branched-chain amino acids in the plasma of female subjects, there was essentially no significant difference between the plasma composition of amino acids in female or male subjects. In only one male subject (Rohler's Index was 106), the transient fall of the branched-chain amino acid concentrations.
Low caloric diet feedings resulted in a marked reductions of the plasma serine, glutamic acid, proline, glycine, arginine and threonine. On the other hand, high protein and high fat diet feedings resulted is a remarkable increasing of the branched-chain amino acid concentration and marked reduction of the plasma alanine concentration.

Patients on chronic hemodialysis, undergoing coronary artery bypass grafting (CABG) have high perioperative mortality and morbidity. In order to reduce the perioperative risks, we performed intraoperative hemodiafiltration (HDF) during off-pump CABG (OPCAB). A 62 year-old-man, who had been on dialysis for 2 years, was admitted with a sensation of chest compression. A coronary angiography revealed 75% stenosis with severe calcification in the left anterior descending artery and 90% stenosis in the second diagonal branch. During the operation, veno-venous HDF was started, using a double lumen catheter that was introduced into the femoral vein at the same time that a skin incision was made. During the exposure of the diagonal branch by rotating the heart, the blood flow of HDF was decreased and dehydration was halted to avoid hemodynamic deterioration. The patient was extubated 1.5h after the operation and did not require continuous hemodiafiltration (CHDF) in the intensive care unit (ICU). Routine hemodialysis was restarted on the 3rd postoperative day. The postoperative course was uneventful, and the patient was discharged to home on the 11th postoperative day. HDF during OPCAB for this chronic dialysis patient was observed to be effective and yielded an excellent postoperative recovery without CHDF in the ICU.