Open AccessLate-onset choreoathetotic syndrome following heart surgery in adults with end-stage renal disease
Author(s) -
Mohamed Amine Hamzi,
Kawtar Hassani,
Driss El Kabbaj
Publication year - 2018
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.225180
Subject(s) - medicine , complication , cardiopulmonary bypass , end stage renal disease , comorbidity , hemodialysis , cardiac surgery , surgery , disease , stage (stratigraphy) , pediatrics , cardiology , paleontology , biology
Choreoathetotic syndrome is a rare complication of open cardiac surgery that is seen usually in children after surgery for congenital cardiac anomalies. Here, we report two cases of adult patients with end-stage renal disease (ESRD) on regular hemodialysis who developed acute choreoathetotic syndrome few days after cardiac surgeries under cardiopulmonary bypass (CPB). Improvement was seen after an interval with complete resolution in one case. Investigations of the cause have been noncontributory. Long CPB time seems to be the main identified risk factor in these cases. One of the unusual features of our adult cases was the existence of ESRD. To the best of our knowledge, this is the first time this complication is described in association with ESRD although the role of this comorbidity in these cases is uncertain.