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- Title
Initiation of peritoneal dialysis in a patient with chronic renal failure associated with tetralogy of Fallot: a case report.
- Authors
Abe, Tetsuya; Aoyama, Togo; Sano, Keiko; Miyasaka, Ryoma; Yamazaki, Takuya; Honma, Yukari; Tominaga, Hiroshi; Ida, Maoko; Arao, Aya; Sakakibara, Mayuko; Hashimoto, Keiko; Takahashi, Haruka; Sakai, Takeshi; Naito, Shokichi; Koitabashi, Toshimi; Sano, Takashi; Takeuchi, Yasuo
- Abstract
<bold>Background: </bold>Tetralogy of Fallot is the most common cyanotic congenital heart disease. Patients with the condition have a high risk of developing chronic kidney disease. Treatment of kidney disease in patients with complex hemodynamics presents unique challenges. However, there are very few reports on the treatment of end-stage renal failure in patients with tetralogy of Fallot.<bold>Case Presentation: </bold>We present a rare case of peritoneal dialysis in a 47-year-old man with tetralogy of Fallot who had not undergone intracardiac repair. Peritoneal dialysis successfully removed fluids and solutes without adversely affecting the patient's hemodynamics. Our patient was managed with peritoneal dialysis for 5 years before he succumbed to sepsis secondary to digestive tract perforation.<bold>Conclusions: </bold>In this paper, we discuss the importance of monitoring acid-base balance, changes in cyanosis, and hyperviscosity syndrome during peritoneal dialysis in patients with tetralogy of Fallot. Lower leg edema and B-type natriuretic peptide level were useful monitoring parameters in this case. This case illustrates that with attention to the patient's unique requirements, peritoneal dialysis can provide successful renal replacement therapy without compromising hemodynamics in patients with tetralogy of Fallot.
- Subjects
CHRONIC kidney failure; PERITONEAL dialysis; TETRALOGY of Fallot; HEMODIALYSIS patients; CONGENITAL heart disease; ALIMENTARY canal; TREATMENT of chronic kidney failure; POLYCYTHEMIA treatment; SURGICAL anastomosis; HEMOGLOBINS; PHLEBOTOMY; POLYCYTHEMIA; OXYGEN therapy; CYANOSIS; HEMODYNAMICS; PEPTIDE hormones; HEADACHE; EDEMA; DISEASE complications
- Publication
BMC Nephrology, 2020, Vol 21, Issue 1, p1
- ISSN
1471-2369
- Publication type
journal article
- DOI
10.1186/s12882-020-01939-x