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Hemolysis‐induced acute kidney injury following cardiac surgery: A case report and review of the literature
Authors:Hong‐Mou Shih  Yi‐Chou Chen  Chi‐Fong Pan  Hsin‐Chang Lin  Chi‐Jen Wu  Han‐Hsiang Chen
Affiliation:1. Department of Internal Medicine, Division of Nephrology, Mackay Memorial Hospital, , Taipei, Taiwan;2. Mackay Medicine, Nursing and Management College, , Taipei, Taiwan;3. Graduate Institute of Medical Science, Taipei Medical University, , Taipei, Taiwan;4. National Taipei College of Nursing, , Taipei, Taiwan
Abstract:
Acute kidney injury is a common complication following cardiac surgery. Even small increases in creatinine levels are associated with increases in morbidity and mortality. Numerous factors such as hemolysis can contribute to the development of acute kidney injury after cardiac surgery. We present a rare case of severe hemolysis related to cardiopulmonary bypass resulting in kidney injury and requiring dialysis. The patient's renal function gradually recovered when hemolysis was improved. After follow‐up for 3 months, his creatinine levels returned to normal. We discussed the pathogenesis of this hemolysis‐related kidney dysfunction, the causes of hemolysis during cardiac surgery, and a new treatment option.
Keywords:Acute kidney injury  hemolysis  cardiac surgery  cardiopulmonary bypass  hemodialysis
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