TY - JOUR A2 - 小川久夫AU - Lossnitzer，德克AU - Schwenger，Vedat AU - Lehrke，欧铠淳 - Giannitsis，埃非盟 - Zeier，马丁AU - Katus，雨果A. AU - 斯蒂恩，亨宁PY - 2010 DA -2011/01/17 TI - 肝和前壁心肌梗死致心尖室间隔缺损SP后，肾功能衰竭 - 645236 VL - 2010 AB - 我们报告从增量肝和肾功能衰竭个月后的68岁男子痛苦的情况下，前壁心肌梗死。Cardiac MRI showed a pronounced apical post-AMI aneurysm, a moderate to severe mitral and tricuspid regurgitation as well as a hemodynamically highly significant 12 mm apical ventricular septal defect with a left-to-right ventricular shunt of almost 63% as the underlying cause. Heart X-ray revealed a severe LAD in-stent restenosis. CAPD catheter drainage of hydroperitoneum due to congestive liver and renal failure was provided in combination with intensified CAPD hemodialysis. Heart surgery was performed where the apical aneurysm was excised, the mitral valve was reconstructed, the IVSD was closed and the subtotally in-stent occluded LAD was bypassed. Post-surgery, the ascites were significantly reduced, and CAPD hemodialysis therapy could be terminated since the renal function gradually improved (MDRD = 25 mL/min). To our knowledge, for the first time we report successful CAPD catheter drainage of hydroperitoneum in combination with CAPD hemodialysis. SN - 1687-9627 UR - https://doi.org/10.1155/2010/645236 DO - 10.1155/2010/645236 JF - Case Reports in Medicine PB - Hindawi Publishing Corporation KW - ER -