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Title: ACUTE RENAL FAILURE AFTER OPEN HEART SURGERY IN DEVELOPING COUNTRIES
Authors: Hassan Raffa , Abdul Rahman Maccawy
Journal: Journal of Pakistan Medical Association
Publisher: Pakistan Medical Association.
Country: Pakistan
Year: 1988
Volume: 38
Issue: 5
Language: English
Abstract
Open heart surgeries were performed on 2463 cases . Acute renal failure occurred in 18 patients after such procedures in 11 patients after correction of congenital anomalies and in 7 patients after valvular surgery. Peritoneal and hemodialysis was required in 16 patients. lntraoperative hypotension, bleeding, low cardiac output, excessive use of cardiotonics, cardiac arrest and mismatched transfusions were the most common causes. Twelve acute renal failure patients died (mortality rate 66%). The etiology, presentation, management, results and possible prevention in developing countries, of this highly lethal complication of open heart surgery, is discussed
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