Recompensation of Heart and Kidney Function after Treatment with Peritoneal Dialysis in a Case of Congestive Heart Failure | Zendy

Lars Kihm | Zendy; Vinzent Hankel | Zendy; Christian Zugck | Zendy; Andrew Remppis | Zendy; Vedat Schwenger | Zendy

Open Access

Recompensation of Heart and Kidney Function after Treatment with Peritoneal Dialysis in a Case of Congestive Heart Failure

Author(s) -

Lars Kihm,

Vinzent Hankel,

Christian Zugck,

Andrew Remppis,

Vedat Schwenger

Publication year - 2011

Publication title -

case reports in medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.2

H-Index - 20

eISSN - 1687-9627

pISSN - 1687-9635

DOI - 10.1155/2011/197816

Subject(s) - medicine , peritoneal dialysis , heart failure , cardiology , dialysis , ejection fraction , renal function , heart transplantation , kidney , kidney transplantation , surgery

We report the case of a 57-year-old woman suffering from congestive heart failure. Due to refractory congestions despite optimised medical treatment, the patient was listed for heart transplantation and peritoneal dialysis was initiated. Peritoneal dialysis led to a significant weight loss, reduction of hyperhydration and extracellular water obtained by bioimpedance measurement, and a significant improvement in clinical and echocardiographic examination. Furthermore, residual kidney function increased during the long-term followup, and subsequently peritoneal dialysis was ceased. Pulmonary artery pressure and left ventricular ejection fraction remained stable and the patient did well. This case demonstrates the possibility of treating hyperhydration due to congestive heart failure with peritoneal dialysis resulting in recompensation of both heart and kidney functions.

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