ＣＡＰＤに導入した重症心疾患患者の臨床的検討

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  • Outcome of CAPD in patients with severe heart disease and end-stage renal failure.

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Four patients suffering from severe heart disease and chronic renal failure were treated by CAPD for 25-40 months. They consisted of three men and one woman between 39 and 65 years of age. Their heart diseases were unstable angina pectoris with three vessel disease, congenital cyanotic heart disease (transposition of great arteries, pulmonary atresia, and aortic regurgitation), infectious endocarditis with right coronary artery (RCA)-right ventriculus (RV) fistula, and cardiomyopathy. Two patients successfully underwent coronary artery bypass surgery or aortic valve replacement and RCA-RV fistula closure. The patient with cardiomyopathy and the one with cyanotic heart disease also made satisfactory progress, but the former died from arrhythmia 35 months after the initiation of CAPD.<br>It is suggested that CAPD therapy has no deleterious effects on serious heart diseases.

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