Abstract
Renal impairment following surgery can have considerable consequences for the patient. Severe postoperative renal dysfunction has a mortality exceeding 50%. The need for frequent dialysis imposes a heavy burden, not only on the patient, but also on the intensive care unit and laboratory services. Although mortality remains high and therapy is expensive, patients who recover are generally restored to health and do not require continued medical care, thus making therapy worthwhile.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abel RM, Wick J, Beck CH, Buckley MJ, Austen WG (1974) Renal dysfunction following open heart operations. Arch Surg 102: 175–177
Abel RM, Buckley MJ, Austen WG, Baraett GO, Beck CH Jr, Fisher JE (1976) Etiology, incidence and prognosis of renal failure following cardiac operations. J Thorac Cardiovasc Surg 71: 323–333
Bhat JG, Gluck MC, Lowenstein J, Baldwin DS (1976) Renal failure after open heart surgery. Ann Intern Med 84: 677–682
Brunner L, Heisig B, Scheler F, Stapenhorst K, Tauschke D, Baumgarten C, Hoffmeister HE, Kirchhoff PG, Rastan H, Regensburger D, Stunkat R, de Vivie R, Koncz J (1972) Die Ursachen des akuten Nierenversagens nach Herz-Lungen-Maschinen-Operationen. Thoraxchirurgie 20: 26–37
Casali R, Simmons RL, Najarian JS, von Haritizsch B, Buselmeier TJ, Kjellstrand CM (1975) Acute renal insufficiency complicating major cardiovascular surgery. Ann Surg 181: 370–375
Feddersen K, Aurell M, Delin K, Haggendal J, Aren C, Radegran K (1985) Effects of cardiopulmonary bypass and prostacyclin on plasma catecholamines, angiotensin II and arginine-vasopressin. Acta Anaesthesiol Scand 29: 224–230
Hilberman M, Myers BD, Carrie BJ, Derby G, Jamison RL, Stinson EB (1979) Acute renal failure following cardiac surgery. J Thorac Cardiovasc Surg 77: 880–888
Hilberman M, Derby GC, Spencer RJ, Stinson EB (1980) Sequential pathophysiological changes characterizing the progression from the renal dysfunction to acute renal failure following cardiac operation. J Thorac Cardiovasc Surg 79: 838–844
Hoar PF, Stone JG, Faltas AN, Bendixen HH, Head RJ, Berkowitz BA (1980) Hemodynamic and adrenergic responses to anesthesia and operation for myocardial revascularisation. J Thorac Cardiovasc Surg 80: 242–248
Kim YD, Jones M, Hanowell ST, Koch JP, Lees DE, Weise V, Kopin IJ (1981) Changes in peripheral vascular and cardiac sympathetic activity before and after coronary artery bypass surgery: Interrelationships with hemodynamic alterations. Am Heart J 102: 972–979
Kirklin JK, Westaby S, Blackstone EH, Kirklin JW, Chenoweth DE, Pacifico AD (1983) Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg 86: 845–857
Koning HM, Leusink JA (1987) Cardiac performance following open heart surgery. Thorac Cardiovasc Surg 35: 304–306
Koning HM, Koning AJ, Leusink JA (1985) Serious acute renal failure following open heart surgery. Thorac Cardiovasc Surg. 33: 283–287
Koning HM, Koning AJ, Defauw JJAM (1987) Optimal perfusion during extra-corporeal circulation. Scand J Thorac Cardiovasc Surg 21: 207–213
Koning HM, Leusink JA, Nas AA, van Scheijen EJ, van Urk P, Haas FJLM, Koning AJ (1988) Renal function following open heart surgery: The influence of postoperative artificial ventilation. Thorac Cardiovasc Surg. 36: 1–5
Krian A (1976) Incidence, prevention and treatment of acute renal failure following cardiopulmonary bypass. Int Anesthesiol Clin 14: 98–101
Marquez JM, Douglas ME, Downs JB, Wu WH, Mantini El, Kuck EJ, Calderwood HW (1979) Renal function and cardiovascular responses during positive airway pressure. Anesthesiology 50:393–398
McMurray SD, Luft FC, Maxwell DR, Hamburger RJ, Futtey D, Szwed JJ, Lavelle KJ, Kleit SA (1978) Prevailing patterns and predictor variables in patients with acute tubular necrosis. Arch Intern Med 138: 950–955
Myers BD, Carrie BJ, Yee AR, Hilberman M, Michaels AS (1980) Pathophysiology of hemodynamically mediated acute renal failure in man. Kidney Int 18: 495–504
Myers BD, Hilberman M, Carrie BJ, Spencer RJ, Stinson EB, Robertson CR (1981) Dynamics of glomerular ultrafiltration following open heart surgery. Kidney Int 20: 366–374
Porter GA, Kloster FE, Herr RJ, Starr A, Griswold HE, Kimsey J, Lenertz H (1966) Relationship between alterations in renal hemodynamics during cardiopulmonary bypass and postoperative renal function. Circulation 34: 1005–1021
Reves JG, Karp RB, Buttner EE, Tosone S, Smith LR, Samuelson PN, Kreusch GR, Oparil S (1982) Neuronal and adrenomedullary catecholamine release in response to cardiopulmonary bypass in man. Circulation 66: 49–55
Robiscek F, Masters TN, Niesluchowski W, Yeager JC, Duncan GD (1983) Vasomotor activity during cardiopulmonary bypass. In: Utley JR (ed) Pathophysiology and techniques of cardiopulmonary by pass, vol II. Williams and Wilkins, Baltimore, pp 1–13
Sanger PW, Robiscek F, Taylor FH, Rees TT, Stam RE (1960) Vasomotor regulation during extracorporeal circulation and open-heart surgery. J Thorac Cardiovasc Surg 40: 355–374
Sladen RN (1985) Temperature and ventilation after hypothermic cardiopulmonary bypass. Anesth Analg 64: 816–820
Stott RB, Ogg CS, Cameron JS, Bewick M (1972) Why the persistently high mortality in acute renal failure? Lancet II: 75–78
Taylor KM, Morton IJ, Brown JJ, Bain WH, Caves PK (1977) Hypertension and the renin-angiotensin system following open-heart surgery. J Thorac Cardiovasc Surg 74: 840–845
Yeboah ED, Petrie A, Pead JL (1972) Acute renal failure and open heart surgery. Br Med J i: 415–418
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Koning, H.M., Leusink, J.A. (1990). Renal Function After Open Heart Surgery. In: Bihari, D., Neild, G. (eds) Acute Renal Failure in the Intensive Therapy Unit. Current Concepts in Critical Care. Springer, London. https://doi.org/10.1007/978-1-4471-1750-6_19
Download citation
DOI: https://doi.org/10.1007/978-1-4471-1750-6_19
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1752-0
Online ISBN: 978-1-4471-1750-6
eBook Packages: Springer Book Archive