A Case of Acute Renal Failure Following Abdominal Aortic Surgery

(Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan)

Manabu Shiraishi Atsushi Yamaguchi Ken-ichirou Noguchi
Hideo Adachi
A 75-year-old man received a diagnosis of an abdominal aneurysm and underwent abdominal aortic replacement. His left internal iliac artery was sacrificed because of the difficulty of reconstruction. Rhabdomyolysis of the left gluteus muscle resulted in acute renal failure(ARF)postoperatively. Continuous hemodiafiltration(CHDF)was performed from postoperative day(POD)1 through POD 10 for the management of his ARF. During CHDF, the maximum value of serum creatinine was 5.10mg/dl and it returned to the normal range of 1.10mg/dl on POD 20. We conclude that the early deployment of CHDF was effective in rhabdomyolysis-induced ARF.
  Jpn. J. Cardiovasc. Surg. 40:255-258(2011)

Keywords:rhabdomyolysis, abdominal aortic aneurysm, acute renal failure, hemodialysis