Oliguria during Thoracoabdominal Aortic Aneurysm Surgery: A Case Report

초록

The author et al., for this study has discovered obstructive oliguria and AKI due to atypical blood clots during thoracoabdominal aortic aneurysm surgery, and therefore is reporting this result. The patient is a 73-year-old male with aneurysm of ascending aorta and aortic arch, and was prepared for surgical replacement of aortic arch and ascending aorta. Start surgery, urine production was counted on the hour, and it was 40 ml and 5 ml, respectively. For 4 hours during CPB, urine production was 30 ml, 60 ml, 10 ml, and 5 ml, respectively, indicating presence of oliguria. End of surgery, the bladder distention was found but urine was not well drained. Consequently, cystostomy was done, and after 1 hour urine production was successfully counted. On the 12th POD, cystostomy catheter was removed, and the patient could do self-voiding about six times. And he was discharged on the 20th POD.

키워드