Seminars in Nephrology
Volume 28, Issue 5 , Pages 470-476 , September 2008

Acute Kidney Injury in an Infant After Cardiopulmonary Bypass

  • Stefano Picca, MD

      Affiliations

    • Department of Nephrology and Urology, Dialysis Unit, “Bambino Gesù” Children's Research Hospital, Rome, Italy
    • Corresponding Author InformationAddress reprint requests to Stefano Picca, MD, Department of Nephrology and Urology, Dialysis Unit, “Bambino Gesù” Children's Research Hospital, Piazza S. Onofrio, 4, 00165 Rome, Italy
  • ,
  • Zaccaria Ricci, MD

      Affiliations

    • Cardiosurgery Intensive Care Unit, “Bambino Gesù” Children's Research Hospital, Rome, Italy
  • ,
  • Sergio Picardo, MD

      Affiliations

    • Cardiosurgery Intensive Care Unit, “Bambino Gesù” Children's Research Hospital, Rome, Italy

References 

  1. Chesney RW, Kaplan BS, Freedom RM, Haller JA, Drummond KN. Acute renal failure: an important complication of cardiac surgery in infants. J Pediatr. 1975;87:381–388
  2. Rigden SP, Barratt TM, Dillon MJ, De Leval M, Stark J. Acute renal failure complicating cardiopulmonary bypass surgery. Arch Dis Child. 1982;57:425–430
  3. Gomez-Campdera FJ, Maroto-Alvaro E, Galinanes M, Garcia E, Duarte J, Rengel-Aranda M. Acute renal failure associated with cardiac surgery. Child Nephrol Urol. 1988;9:138–143
  4. Giuffre RM, Tam KH, Williams WW, Freedom RM. Acute renal failure complicating pediatric cardiac surgery: a comparison of survivors and nonsurvivors following acute peritoneal dialysis. Pediatr Cardiol. 1992;13:208–213
  5. Picca S, Principato F, Mazzera E, Corona R, Ferrigno L, Marcelletti C, et al. Risks of acute renal failure after cardiopulmonary bypass surgery in children: a retrospective 10-year case-control study. Nephrol Dial Transplant. 1995;10:630–636
  6. Sorof JM, Stromberg D, Brewer ED, Feltes TF, Fraser CD. Early initiation of peritoneal dialysis after surgical repair of congenital heart disease. Pediatr Nephrol. 1999;13:641–645
  7. Chan KL, Ip P, Chiu CS, Cheung YF. Peritoneal dialysis after surgery for congenital heart disease in infants and young children. Ann Thorac Surg. 2003;76:1443–1449
  8. Bailey D, Phan V, Litalien C, Ducruet T, Merouani A, Lacroix J, et al. Risk factors of acute renal failure in critically ill children: a prospective descriptive epidemiological study. Pediatr Crit Care Med. 2007;8:29–35
  9. Rosner MH, Okusa MD. Acute kidney injury associated with cardiac surgery. Clin J Am Soc Nephrol. 2006;1:19–32
  10. Tufro-McReddie A, Gomez RA. Ontogeny of the renin-angiotensin system. Semin Nephrol. 1993;13:519–530
  11. Guignard JP. [Nephrotoxicity of vasoactive drugs in the fetus and the newborn infant]. Therapie. 1988;43:407–411
  12. Torre-Amione G, Kapadia S, Benedict C, Oral H, Young JB, Mann DL. Proinflammatory cytokine levels in patients with depressed left ventricular ejection fraction: a report from the Studies of Left Ventricular Dysfunction (SOLVD). J Am Coll Cardiol. 1996;27:1201–1206
  13. Kurusz M, Davis RF, Conti VR. Conduct of cardiopulmonary cardiopulmonary bypass. In:  Gravlee GP,  Davis RF,  Kurusz M,  Utley JR editor. Cardiopulmonary bypass: principles and practice. Philadelphia: Lippincott Williams & Wilkins; 2000;p. 549–578
  14. Merkle F, Boettcher W, Schulz F, Koster A, Huebler M, Hetzer R. Perfusion technique for nonhaemic cardiopulmonary bypass prime in neonates and infants under 6 kg body weight. Perfusion. 2004;19:229–237
  15. Huang H, Yao T, Wang W, Zhu D, Zhang W, Chen H, et al. Continuous ultrafiltration attenuates the pulmonary injury that follows open heart surgery with cardiopulmonary bypass. Ann Thorac Surg. 2003;76:136–140
  16. Goldstein SL, Somers MJ, Baum MA, Symons JM, Brophy PD, Blowey D, et al. Pediatric patients with multi-organ dysfunction syndrome receiving continuous renal replacement therapy. Kidney Int. 2005;67:653–658
  17. Gillespie RS, Seidel K, Symons JM. Effect of fluid overload and dose of replacement fluid on survival in hemofiltration. Pediatr Nephrol. 2004;19:1394–1399
  18. Stocker CF, Shekerdemian LS. Recent developments in the perioperative management of the paediatric cardiac patient. Curr Opin Anaesthesiol. 2006;19:375–381
  19. Hoffman TM, Wernovsky G, Atz AM, Kulik TJ, Nelson DP, Chang AC, et al. Efficacy and safety of milrinone in preventing low cardiac output syndrome in infants and children after corrective surgery for congenital heart disease. Circulation. 2003;107:996–1002
  20. Cheung PY, Barrington KJ. Renal dopamine receptors: mechanisms of action and developmental aspects. Cardiovasc Res. 1996;31:2–6
  21. Jose PA, Felder RA, Holloway RR, Eisner GM. Dopamine receptors modulate sodium excretion in denervated kidney. Am J Physiol. 1986;250:F1033–F1038
  22. Mahajan A, Marijic J. Hemodynamic management. In:  Andropolous D,  Stayer S,  Russell I editor. Anesthesia for congenital heart disease. Malden: Blackwell; 2005;p. 225–240
  23. Andropolous D, Ogletree ML. Physiology and molecular biology of the developing circulation. In:  Andropolous D,  Stayer S,  Russell I editor. Anesthesia for congenital heart disease. Malden: Blackwell; 2005;p. 30–48
  24. Bellomo R, Giantomasso DD. Noradrenaline and the kidney: friends or foes?. Crit Care. 2001;5:294–298
  25. Gombos EA, Hulet WH, Bopp P, Goldringw , Baldwin DS, Chasis H. Reactivity of renal and systemic circulations to vasoconstrictor agents in normotensive and hypertensive subjects. J Clin Invest. 1962;41:203–217
  26. Dickerson HA, Chang AC. Diuretics. In:  Chang AC,  Towbin JA editor. Heart failure in children and young adults. Philadelphia: Saunders; 2006;p. 453–467
  27. Luciani GB, Nichani S, Chang AC, Wells WJ, Newth CJ, Starnes VA. Continuous versus intermittent furosemide infusion in critically ill infants after open heart operations. Ann Thorac Surg. 1997;64:1133–1139
  28. Singh NC, Kissoon N, al Mofada S, Bennett M, Bohn DJ. Comparison of continuous versus intermittent furosemide administration in postoperative pediatric cardiac patients. Crit Care Med. 1992;20:17–21
  29. van der Vorst MM, Ruys-Dudok van Heel I, Kist-van Holthe JE, den Hartigh J, Schoemaker RC, Cohen AF, et al. Continuous intravenous furosemide in haemodynamically unstable children after cardiac surgery. Intensive Care Med. 2001;27:711–715
  30. Costello JM, Thiagarajan RR, Dionne RE, Allan CK, Booth KL, Burmester M, et al. Initial experience with fenoldopam after cardiac surgery in neonates with an insufficient response to conventional diuretics. Pediatr Crit Care Med. 2006;7:28–33
  31. Kellum JA, Mehta RL, Angus DC, Palevsky P, Ronco C. The first international consensus conference on continuous renal replacement therapy. Kidney Int. 2002;62:1855–1863
  32. Tantalean JA, Leon RJ, Santos AA, Sanchez E. Multiple organ dysfunction syndrome in children. Pediatr Crit Care Med. 2003;4:181–185
  33. Andreoli SP. Acute renal failure in the newborn. Semin Perinatol. 2004;28:112–123
  34. Alkan T, Akcevin A, Turkoglu H, Paker T, Sasmazel A, Bayer V, et al. Postoperative prophylactic peritoneal dialysis in neonates and infants after complex congenital cardiac surgery. ASAIO J. 2006;52:693–697
  35. Cetta F, Feldt RH, O'Leary PW, Mair DD, Warnes CA, Driscoll DJ. Improved early morbidity and mortality after Fontan operation: the Mayo Clinic experience, 1987 to 1992. J Am Coll Cardiol. 1996;28:480–486
  36. Morelli S, Ricci Z, Di Chiara L, Stazi GV, Polito A, Vitale V, et al. Renal replacement therapy in neonates with congenital heart disease. Contrib Nephrol. 2007;156:428–433
  37. Fleming F, Bohn D, Edwards H, Cox P, Geary D, McCrindle BW, et al. Renal replacement therapy after repair of congenital heart disease in children (A comparison of hemofiltration and peritoneal dialysis). J Thorac Cardiovasc Surg. 1995;109:322–331
  38. Dittrich S, Vogel M, Dahnert I, Haas NA, Alexi-Meskishvili V, Lange PE. Acute hemodynamic effects of post cardiotomy peritoneal dialysis in neonates and infants. Intensive Care Med. 2000;26:101–104
  39. McNiece KL, Ellis EE, Drummond-Webb JJ, Fontenot EE, O'Grady CM, Blaszak RT. Adequacy of peritoneal dialysis in children following cardiopulmonary bypass surgery. Pediatr Nephrol. 2005;20:972–976
  40. Golej J, Kitzmueller E, Hermon M, Boigner H, Burda G, Trittenwein G. Low-volume peritoneal dialysis in 116 neonatal and paediatric critical care patients. Eur J Pediatr. 2002;161:385–389
  41. Venkataraman R, Subramanian S, Kellum JA. Clinical review: extracorporeal blood purification in severe sepsis. Crit Care. 2003;7:139–145
  42. Bokesch PM, Kapural MB, Mossad EB, Cavaglia M, Appachi E, Drummond-Webb JJ, et al. Do peritoneal catheters remove pro-inflammatory cytokines after cardiopulmonary bypass in neonates?. Ann Thorac Surg. 2000;70:639–643
  43. Dittrich S, Aktuerk D, Seitz S, Mehwald P, Schulte-Monting J, Schlensak C, et al. Effects of ultrafiltration and peritoneal dialysis on proinflammatory cytokines during cardiopulmonary bypass surgery in newborns and infants. Eur J Cardiothorac Surg. 2004;25:935–940
  44. Warady BA, Bunchman T. Dialysis therapy for children with acute renal failure: survey results. Pediatr Nephrol. 2000;15:11–13
  45. Jander A, Tkaczyk M, Pagowska-Klimek I, Pietrzykowski W, Moll J, Krajewski W, et al. Continuous veno-venous hemodiafiltration in children after cardiac surgery. Eur J Cardiothorac Surg. 2007;31:1022–1028
  46. Goldstein SL, Hackbarth R, Bunchman TE, Blowey D, Brophy PD. Evaluation of the PRISMA M10 circuit in critically ill infants with acute kidney injury: a report from the Prospective Pediatric CRRT Registry Group. Int J Artif Organs. 2006;29:1105–1108
  47. Ricci Z, Morelli S, Vitale V, Di Chiara L, Cruz D, Picardo S. Management of fluid balance in continuous renal replacement therapy: technical evaluation in the pediatric setting. Int J Artif Organs. 2007;30:896–901
  48. Elliott MJ. Ultrafiltration and modified ultrafiltration in pediatric open heart operations. Ann Thorac Surg. 1993;56:1518–1522
  49. Davies MJ, Nguyen K, Gaynor JW, Elliott MJ. Modified ultrafiltration improves left ventricular systolic function in infants after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1998;115:361–370
  50. Berdat PA, Eichenberger E, Ebell J, Pfammatter JP, Pavlovic M, Zobrist C, et al. Elimination of proinflammatory cytokines in pediatric cardiac surgery: analysis of ultrafiltration method and filter type. J Thorac Cardiovasc Surg. 2004;127:1688–1696
  51. Laffey JG, Boylan JF, Cheng DC. The systemic inflammatory response to cardiac surgery: implications for the anesthesiologist. Anesthesiology. 2002;97:215–252
  52. Goldstein SL. Overview of pediatric renal replacement therapy in acute renal failure. Artif Organs. 2003;27:781–785
  53. Ricci Z, Polito A, Giorni C, Di Chiara L, Ronco C, Picardo S. Continuous hemofiltration dose calculation in a newborn patient with congenital heart disease and preoperative renal failure. Int J Artif Organs. 2007;30:258–261
  54. Shaheen IS, Harvey B, Watson AR, Pandya HC, Mayer A, Thomas D. Continuous venovenous hemofiltration with or without extracorporeal membrane oxygenation in children. Pediatr Crit Care Med. 2007;8:362–365

PII: S0270-9295(08)00114-9

doi: 10.1016/j.semnephrol.2008.05.006

Seminars in Nephrology
Volume 28, Issue 5 , Pages 470-476 , September 2008