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Fabio Capuano
Roberto Bianchini
Antonino Roscitano
Caterina Simon
Riccardo Sinatra
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Ann Thorac Surg 2007;83:2215-2216
© 2007 The Society of Thoracic Surgeons


Case Reports

Intraoperative Veno-Arterial Hemofiltration During Miniaturized Extracorporeal Bypass

Fabio Capuano, MDa,*, Roberto Bianchini, MDa, Massimo Goracci, MDb, Antonino Roscitano, MDa, Remo Luciani, MDb, Caterina Simon, MDa, Leda Giusti, MDa, Riccardo Sinatra, MDa

a Division of Cardiac Surgery, St. Andrea Hospital, University of Rome "La Sapienza," Rome, Italy
b Division of Nephrology, St. Andrea Hospital, University of Rome "La Sapienza," Rome, Italy

Accepted for publication December 4, 2006.

* Address correspondence to Dr Capuano, Via di Grottarossa 1035-1039, Rome, 00189, Italy (Email: capmd{at}katamail.com).

We report the case of a 71-year-old man with creatinine clearance of 41 mL/min and acute anterior ST-segment elevation who underwent urgent coronary artery bypass grafting. A continuous intraoperative veno-arterial hemofiltration with high volumes of exchange (35 mL/kg/h) was used in a series for a miniaturized extracorporeal bypass system to minimize the inflammatory response and to protect the kidneys of this patient who had preoperative renal dysfunction. The patient had an uneventful postoperative recovery.







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