Successful initiation and maintenance of hemodialysis in an adult patient with complete transposition of the great arteries

Shunsuke Yamada, Hideki Yotsueda, Masatomo Taniguchi, Kazuhiko Tsuruya, Hideki Hirakata, Mitsuo Iida

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Cyanotic congenital heart disease (CCHD) is a life-threatening cardiac defect that requires palliative or corrective surgery in early life. Major advances in medical and surgical management have resulted in the survival of CCHD patients to adulthood with or without corrective surgery, though some are at risk of development of end-stage renal disease (ESRD) due to cyanotic nephropathy (CN). There is little or no information on the initiation and maintenance of hemodialysis (HD) in such patients. We present here a case of a 44-year-old man with complete transposition of the great arteries and CN-related ESRD. He had only received a bi-directional Glenn's operation and still suffered persistent severe hypoxemia and impaired cardiac function. ESRD was successfully treated with HD over more than 4 years. The case emphasizes the need for special attention in the selection and initiation of renal replacement therapy.

Original languageEnglish (US)
Pages (from-to)511-515
Number of pages5
JournalClinical and Experimental Nephrology
Volume14
Issue number5
DOIs
StatePublished - Oct 1 2010

Keywords

  • Complete transposition of the great arteries
  • Cyanotic congenital heart disease
  • End-stage renal disease
  • Hemodialysis
  • Renal replacement therapy

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Physiology (medical)

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