Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28487869
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
A curious case of persistently relapsing hyperkalemia in an ESRD patient on
maintenance hemodialysis following bioprosthetic aortic valve replacement - a
potential case for the use of the new agent, patiromer, for hyperkalemia
management
#MMPMID28487869
Onuigbo MAC
; Agbasi N
; Oguejiofor F
; Odenigbo C
J Renal Inj Prev
2017[]; 6
(1
): 30-34
PMID28487869
show ga
Hyperkalemia is not uncommon in patients with end-stage renal disease (ESRD) on
maintenance hemodialysis, often related to dietary indiscretion, following the
prolonged inter-dialytic weekend interval in patients on thrice weekly
hemodialysis treatments, and sometimes the adverse effects of medications such as
RAAS blocking agents. Moreover, hyperkalemia following extended cardiac surgery
can result from the use of high-potassium containing cardioplegic solutions used
during cardiopulmonary bypass. Nevertheless, different from the foregoing, in the
nephrology literature, there have been very rare reports of potentially
life-threatening hyperkalemia following cardiac valve replacement procedure. We
recently encountered an unusual case of persistent relapsing hyperkalemia
complicating aortic valve replacement (AVR) in a 53-year-old obese Caucasian male
patient despite repeated daily intermittent hemodialysis treatments. Our case
report is the first to clearly demonstrate the yo-yo recurrence of newly observed
episodes of hyperkalemia reappearing despite repeated treatments.
free
free
free
