Novel Multidisciplinary Management of Acute Kidney Injury After Infant Orthotopic Heart Transplantation
| Autor: | Brent M. Gordon, Richard Paul Lion, Peter Chau, Timothy Martens, Billy C Wang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Heart Defects
Congenital medicine.medical_specialty Continuous Renal Replacement Therapy medicine.medical_treatment Renal function 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Risk Factors medicine.artery medicine Cardiopulmonary bypass Ventricular Dysfunction Humans Stenosis Pulmonary Artery Renal replacement therapy Heart transplantation Patient Care Team Cardiopulmonary Bypass business.industry Acute kidney injury Hemodynamics Infant General Medicine Acute Kidney Injury medicine.disease Surgery Stenosis Treatment Outcome 030228 respiratory system Pediatrics Perinatology and Child Health Pulmonary artery Circulatory system Heart Transplantation Female Heart-Assist Devices Cardiology and Cardiovascular Medicine business Immunosuppressive Agents |
| Zdroj: | World journal for pediatriccongenital heart surgery. 11(3) |
| ISSN: | 2150-136X |
| Popis: | Acute kidney injury following orthotopic heart transplantation in pediatric recipients is often multifactorial, requiring balance of immune suppression, nephrotoxic medication exposure, nutrition, and fluid status. Therapeutic options are often limited by patient size and hemodynamic stability. We describe a four-month, 4.9-kg female bridged by mechanical circulatory support to transplant after failed stage 1 palliation secondary to recurrent aortic stenosis and severe ventricular dysfunction. Posttransplant, kidney injury was managed by transcatheter relief of central obstruction from an anastomotic stricture and continuous renal replacement therapy, allowing uninterrupted immune suppression, medication, and nutrition delivery until sufficient recovery of renal function. |
| Databáze: | OpenAIRE |
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