관상동맥우회술후 대동맥내풍선펌프 사용으로 발생한미세색전증에 의한 횡문근융해증 -증례 보고-
Rhabdomyolysis Induced by Microembolism with Intra-Aortic Balloon Pump (IABP)Use in a Patient after Coronary Artery Bypass Graft (CABG) -A Case Report-
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A fifty seven-year-old man visited the outpatient department with chest pain and claudication. Coronary angiogram showed coronary artery diseases (3-vessel diseases) and CABG was planned. However, lower extremity angiogram showed stenosis of both common iliac arteries and stent implantation of both iliac arteries were done before CABG. He underwent CABG and IABP was inserted for weaning from cardiopulmonary bypass. After CABG, ischemic change on ends of feet was noted with red-brown colored urine and hyperkalemia. Blood myoglobin level was over 3,000 ng/ml. Microembolism of his lower body was revealed by multiple uptakes on the whole body bone scan study. After management by massive hydration and alkalization of urine with sodium bicarbonate, he was recovered without renal replacement therapy and discharged in good condition.
Abstract
A fifty seven-year-old man visited the outpatient department with chest pain and claudication. Coronary angiogram showed coronary artery diseases (3-vessel diseases) and CABG was planned. However, lower extremity angiogram showed stenosis of both common iliac arteries and stent implantation of both iliac arteries were done before CABG. He underwent CABG and IABP was inserted for weaning from cardiopulmonary bypass. After CABG, ischemic change on ends of feet was noted with red-brown colored urine and hyperkalemia. Blood myoglobin level was over 3,000 ng/ml. Microembolism of his lower body was revealed by multiple uptakes on the whole body bone scan study. After management by massive hydration and alkalization of urine with sodium bicarbonate, he was recovered without renal replacement therapy and discharged in good condition.
참고문헌 (7)
- 장지원, "개심술 후 인공 심폐기 이탈 시 동맥내 풍선 펌프 사용의 유용성", The Korean Journal of Thoracic and Cardiovascular Surgery, 35(6), pp.449~453 (2002), 대한흉부외과학회
- Severi L, "Severe intra-aortic balloon pump complications: a single- center 12-year experience", J Cardiothorac Vasc Anesth, 26, pp.604~607 (2012)
- Kumbasar SD, "Mechanical complications of intra-aortic balloon counterpulsation", Int J Cardiol, 70, pp.69~73 (1999)
- Chatzizisis YS, "The syndrome of rhabdomyolysis: complications and treatment", Eur J Intern Med, 19, pp.568~574 (2008)
- Kasaoka S, "Peak value of blood myoglobin predicts acute renal failure induced by rhabdomyolysis", J Crit Care, 25, pp.601~604 (2010)
- Khan FY, "Rhabdomyolysis: a review of the literature", Neth J Med, 67, pp.272~283 (2009)
- Vale A, "Rhabdomyolysis", Med, 40, pp.61~62 (2012)