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Hemolysis‐induced acute kidney injury following cardiac surgery: A case report and review of the literature
Author(s) -
Shih HongMou,
Chen YiChou,
Pan ChiFong,
Lin HsinChang,
Wu ChiJen,
Chen HanHsiang
Publication year - 2013
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2012.00697.x
Subject(s) - medicine , acute kidney injury , hemolysis , hemodialysis , cardiac surgery , surgery , kidney , intensive care medicine
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.