Acute renal failure after acute type A aortic dissection repair. Insidious postoperative complication with poor short- and long-term prognosis.


Journal

Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 04 05 2022
accepted: 05 05 2022
pubmed: 17 5 2022
medline: 4 8 2022
entrez: 16 5 2022
Statut: ppublish

Résumé

Acute type A aortic dissection (ATAAD) is a life-threatening aortic disease. Many systems and organs are affected by malperfusion which presents preoperatively and postoperatively. Postoperative acute renal failure after ATAAD constitutes a severe and insidious complication. Acute renal damage is observed in many patients with ATAAD preoperatively and it burdens the renal function postoperatively. Renal replacement therapy represents an additional risk factor for short-, mid-, and long-term outcomes after ATAAD repair. Brown et al.'s present study highlight the clinical significance of this complication. Also, they remind us of the importance of optimizing perioperative renal protective strategies in patients undergoing ATAAD repair.

Identifiants

pubmed: 35578281
doi: 10.1111/jocs.16613
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2618-2620

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Auteurs

George Samanidis (G)

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece.

Meletios Kanakis (M)

Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.

Georgios Kourelis (G)

Pediatric Cardiac and Adult Congenital Heart Disease Intensive Care Unit, Onassis Cardiac Surgery Center, Athens, Greece.

Kyriaki Kolovou (K)

Department of Nephrology and Renal Transplantation, Medical School, National and Kapodistrian University of Athens, General Hospital Laiko, Athens, Greece.

Konstantinos Perreas (K)

First Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece.

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