Efficacy of Continuous Hemodiafiltration in a Case of Acute Renal Failure after CABG / 日本心臓血管外科学会雑誌

A 58-year-old diabetic man underwent emergency coronary artery bypass grafting for ischemic heart failure. Although postoperative cardiac function was good but acute renal failure developed. We started continuous hemodiafiltration (CHDF) from 5 hours after the operation and continued it for 7 days without any undue influence on hemodynamics or bleeding side effects. The renal function gradually improved and CHDF was halted. It is reported that CHDF can prevent renal failure caused by inflammatory cytokines produced after cardiac surgery. CHDF appears to be useful for the management of acute renal failure in the early postoperative period after cardiac surgery.