Korean J Thorac Cardiovasc Surg.  1999 Jun;32(6):588-590.

Valve Replacement in an Anuric Patient with Chronic Renal Failure: 1 Case Report

Affiliations
  • 1Department of Thoracic & Cardiovascular Surgery, Catholic University Medical College.

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.

Keyword

Renal failure, Chronic; Dialysis; Heart valve replacement

MeSH Terms

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
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