Matches in SemOpenAlex for { <https://semopenalex.org/work/W2000554979> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W2000554979 endingPage "770" @default.
- W2000554979 startingPage "767" @default.
- W2000554979 abstract "A 69-year-old male smoker who had severe atherosclerotic renovascular disease associated with progressive deterioration of kidney function, poorly controlled hypertension, and a 5-cm solid fight renal mass was scheduled for partial nephrectomy and hepatorenal bypass. He had no history of other cardiovascular disease or prior abdominal surgery. The physical examination was unremarkable except for a blood pressure of 170/90 mmHg. Laboratory studies included normal white blood cell count, hematocrit, platelet count, liver function tests, and clotting characteristics. The blood urea nitrogen concentration was 25 mg/dL (normal, 8 to 25 mg/dL); creatinine, 2.2 mg/dL (normal, 0.7 to 1.4 mg/dL); and creatinine clearance, 25 mL/min. Carbon dioxide arteriography was performed 1 month before the surgery and showed bilateral proximal 80% renal artery stenosis. A lateral aortogram showed a mild proximal celiac trunk stenosis with patent splenic, hepatic, and superior mesenteric arteries, and occluded inferior mesenteric artery. The right hepatic artery originated from the superior mesenteric artery and had a 50% to 60% osteal stenosis. The preoperative electrocardiogram and thallium stress test were normal; a carotid duplex ultrasound showed a 40% to 59% stenosis of the fight internal carotid artery. Under general endotracheal anesthesia (induction and endotracheal intubation with 150 mg of propofol and 10 mg of vecuronium, and maintenance with oxygen, nitrous oxide, and isoflurane), a bilateral subcostal incision was made, and a Bookwalter retractor was positioned. At exploration, a decreased pulse was noted in the porta hepatis area; therefore, an aortorenal rather than a hepatorenal bypass was performed. After resection of the kidney mass under cold ischemia (duration, 45 minutes), the anterolateral side of the aorta was clamped, and an aortorenal bypass with a reversed greater saphenous vein graft was performed with warm ischemia time of 25 minutes. The patient received no systemic heparinization and only regional arterial heparin flushes (up to 1,000 U) were used during the revascularization. The operation lasted about 4 hours. During the first 2 hours, the systolic blood pressure was between 100 and ll0 mmHg, and a continuous intravenous dopamine drip (dose, 1 to 3 ~tg/kg/min) was administered. The central venous pressure was 15 to 18 mmHg. During the last 2 hours of the surgery, the systolic blood pressure was maintained between 90 to 100 mmHg (despite relatively low blood loss and light anesthesia with 0.2% to 0.3% isoflurane) with increased fluid administration, and dopamine and epinephrine infusions at 12 ~g/kg/min and 0.03 to 0.07 pg/kg/min, respectively. The estimated blood loss during the entire operation was 1,500 mL, and the patient received 2 U of packed red blood cells. In" @default.
- W2000554979 created "2016-06-24" @default.
- W2000554979 creator A5005627457 @default.
- W2000554979 creator A5018113226 @default.
- W2000554979 creator A5047147139 @default.
- W2000554979 creator A5076837294 @default.
- W2000554979 creator A5088885012 @default.
- W2000554979 date "1997-10-01" @default.
- W2000554979 modified "2023-10-16" @default.
- W2000554979 title "Unexplained intraoperative hypotension, acute ischemic hepatitis, and pancreatitis associated with aortorenal bypass surgery" @default.
- W2000554979 cites W1556236836 @default.
- W2000554979 cites W1597717979 @default.
- W2000554979 cites W1611145337 @default.
- W2000554979 cites W1963906551 @default.
- W2000554979 cites W1970190570 @default.
- W2000554979 cites W1970973681 @default.
- W2000554979 cites W1973737464 @default.
- W2000554979 cites W2002381110 @default.
- W2000554979 cites W2006549508 @default.
- W2000554979 cites W2011132818 @default.
- W2000554979 cites W2015834120 @default.
- W2000554979 cites W2020566049 @default.
- W2000554979 cites W2021912241 @default.
- W2000554979 cites W2045268337 @default.
- W2000554979 cites W2059146195 @default.
- W2000554979 cites W2073693034 @default.
- W2000554979 cites W2086742883 @default.
- W2000554979 cites W2101112318 @default.
- W2000554979 cites W2111297725 @default.
- W2000554979 cites W2395212146 @default.
- W2000554979 cites W2398959809 @default.
- W2000554979 cites W2409632792 @default.
- W2000554979 cites W2413949141 @default.
- W2000554979 cites W2569346434 @default.
- W2000554979 cites W82057568 @default.
- W2000554979 cites W2316021413 @default.
- W2000554979 doi "https://doi.org/10.1016/s1053-0770(97)90174-9" @default.
- W2000554979 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9327322" @default.
- W2000554979 hasPublicationYear "1997" @default.
- W2000554979 type Work @default.
- W2000554979 sameAs 2000554979 @default.
- W2000554979 citedByCount "2" @default.
- W2000554979 countsByYear W20005549792016 @default.
- W2000554979 countsByYear W20005549792019 @default.
- W2000554979 crossrefType "journal-article" @default.
- W2000554979 hasAuthorship W2000554979A5005627457 @default.
- W2000554979 hasAuthorship W2000554979A5018113226 @default.
- W2000554979 hasAuthorship W2000554979A5047147139 @default.
- W2000554979 hasAuthorship W2000554979A5076837294 @default.
- W2000554979 hasAuthorship W2000554979A5088885012 @default.
- W2000554979 hasConcept C141071460 @default.
- W2000554979 hasConcept C2775967933 @default.
- W2000554979 hasConcept C2776670229 @default.
- W2000554979 hasConcept C42219234 @default.
- W2000554979 hasConcept C71924100 @default.
- W2000554979 hasConceptScore W2000554979C141071460 @default.
- W2000554979 hasConceptScore W2000554979C2775967933 @default.
- W2000554979 hasConceptScore W2000554979C2776670229 @default.
- W2000554979 hasConceptScore W2000554979C42219234 @default.
- W2000554979 hasConceptScore W2000554979C71924100 @default.
- W2000554979 hasIssue "6" @default.
- W2000554979 hasLocation W20005549791 @default.
- W2000554979 hasLocation W20005549792 @default.
- W2000554979 hasOpenAccess W2000554979 @default.
- W2000554979 hasPrimaryLocation W20005549791 @default.
- W2000554979 hasRelatedWork W2002120878 @default.
- W2000554979 hasRelatedWork W2003938723 @default.
- W2000554979 hasRelatedWork W2008878688 @default.
- W2000554979 hasRelatedWork W2023981456 @default.
- W2000554979 hasRelatedWork W2047967234 @default.
- W2000554979 hasRelatedWork W2348949225 @default.
- W2000554979 hasRelatedWork W2368551634 @default.
- W2000554979 hasRelatedWork W2418161723 @default.
- W2000554979 hasRelatedWork W2439875401 @default.
- W2000554979 hasRelatedWork W387882761 @default.
- W2000554979 hasVolume "11" @default.
- W2000554979 isParatext "false" @default.
- W2000554979 isRetracted "false" @default.
- W2000554979 magId "2000554979" @default.
- W2000554979 workType "article" @default.