Acute Renal Insufficiency Complicating Major Cardiovascular Surgery

Acute renal failure complicating cardiopulmonary bypass surgery.

Acute renal failure developed in 24 (5.3%) of 456 children undergoing cardiopulmonary bypass surgery during a 2-year period. It was more common in younger children, in those with complex cardiac lesions, and in those with long overall bypass times. Fourteen (58%) recovered renal function; renal failure was responsible for death in only two. Early vigorous peritoneal dialysis is advocated after ...

Acute valvular insufficiency complicating hypertrophic obstructive cardiomyopathy.

This report describes a patient with hypertrophic obstructive cardiomyopathy complicated by acute aortic and probably mitral valvular incompetence caused by endocarditis due to Staphylococcus aureus. Following the onset of valvular insufficiency, this patient developed hypotension and pulmonary edema and eventually underwent cardiac surgery in an attempt to control these complications. We revie...

[Acute renal insufficiency].

Ischemic colitis complicating major vascular surgery.

Ischemic colitis is a well-described complication of major vascular surgery, especially following open abdominal aortic aneurysm repair and endovascular aneurysm repair, but also with aortoiliac surgery, aortic dissection, and thoracic aneurysm repair. Following its onset, mortality remains high, highlighting the need for rapidly identifying the onset of symptoms and, perhaps more importantly, ...

Anaemia, renal insufficiency and cardiovascular outcome.

Cellular models of cardiac hypertrophy and cardiac failure suggest that haemodynamic stresses lead to increased rates of cardiac myocyte apoptosis and fibrosis. Over the last 15 years, it has been become evident that the dramatically amplified exposure of patients with renal insufficiency to haemodynamic stress leads to maladaptive vascular and ventricular adaptations. Anaemia and hypertension ...