Circulation reports · 2025
Impact of Emergency Surgery for Acute Type A Aortic Dissection on Postoperative Renal Function in Patients With Autosomal Dominant Polycystic Kidney Disease.
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Fukunaga Naoto, Takanishi Taiki, Wakami Tatsuto, Shimoji Akio, Mori Otohime, Tamura Nobushige
Аннотация
BACKGROUND: The impact of emergency surgery for acute type A aortic dissection (ATAAD) on renal function in patients with autosomal dominant polycystic kidney disease (ADPKD) remains unclear.
METHODS AND RESULTS: The renal function of 4 patients with ADPKD undergoing emergency ATAAD surgery remained unchanged up to 30 days postoperatively. During follow-up of 2 patients, 1 progressed from Stage 4 chronic kidney disease (CKD) preoperatively to Stage 5 at 3 years postoperatively, while the other progressed from Stage 3b CKD preoperatively to Stage 4 at 5 years postoperatively.
CONCLUSIONS: Emergency surgery for ATAAD had no effect on renal function.
METHODS AND RESULTS: The renal function of 4 patients with ADPKD undergoing emergency ATAAD surgery remained unchanged up to 30 days postoperatively. During follow-up of 2 patients, 1 progressed from Stage 4 chronic kidney disease (CKD) preoperatively to Stage 5 at 3 years postoperatively, while the other progressed from Stage 3b CKD preoperatively to Stage 4 at 5 years postoperatively.
CONCLUSIONS: Emergency surgery for ATAAD had no effect on renal function.