Acute renal insufficiency following aortic surgery

摘要: Abstract Eleven patients with acute renal insufficiency following aortic resectional surgery have been studied. All the were men; eight had aneurysms; three occlusive vascular disease; and in each instance lesion was distal to artery. In five of aneurysms ruptured, emphasizing association ruptured aneurysm subsequent failure. Six survived, which is most encouraging view coexistence significant cardiovascular disease ten eleven patients. A cerebrovascular accident, bronchopneumonia, rupture aorta two instances refractory hypotension principal causes death fatalities uremia considered secondary importance. Extensive infarction occurred Nine sustained periods failure may its origin this circulatory stress. The current state knowledge concerning pathogenesis under these circumstances reviewed opinion expressed that efforts directed at relief vasoconstriction are rational should be pursued. recommendation infiltrate pedicle during surgery, especially whom an has occurred, supported. gangrene lower extremity developed, a complication particular significance oliguric subject. potassium intoxication rate clinical deterioration seemed out proportion progression uremia. Amputation performed all difficult decision regarding choice treatment or other manifesting less obvious signs insufficiency, assistance sought measurements PO 4 : blood urea nitrogen ratio plasma-creatine concentration. Both values elevated presence devitalized muscle but further studies high also found who free complication. plasma creatine concentration exceed creatinine as conservative management, debridement amputation cannot made on basis biochemical data alone for present must remain matter judgment.