Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-12-03T19:27:09.489Z Has data issue: false hasContentIssue false
  • English
  • Français

Terminal right heart failure due to complex congenital cardiac disease successfully managed by home peritoneal drainage

Published online by Cambridge University Press:  24 May 2005

Kristian A. N. Houlberg ,
Richard J. McGonigle  and
Andrew J. Marshall
Kristian A. N. Houlberg
Affiliation:
Renal Unit, Department of Cardiology, Derriford Hospital, Plymouth, UK
Richard J. McGonigle
Affiliation:
Renal Unit, Department of Cardiology, Derriford Hospital, Plymouth, UK
Andrew J. Marshall
Affiliation:
GUCH Service, Department of Cardiology, Derriford Hospital, Plymouth, UK
Get access Rights & Permissions [Opens in a new window]

Abstract

A man, aged 32, who had undergone surgical correction of complex congenital cardiac disease, had chronic severe right heart failure. Increasing reliance on diuretics led to deteriorating renal function, and he was rejected as a candidate for cardiac transplantation. By inserting a Tenckhoff catheter, and training him to drain his ascites at home, we achieved a dramatic improvement in both his cardiac and renal function. As far as we can ascertain, this is the first time this technique has been used for such a patient. We discuss the mechanisms of improvement, and suggest that other such patients with congenital cardiac disease might benefit from similar management.

Keywords

Renal failureTenckhoff catheteradult congenital heart disease
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 568 - 570
Copyright
© 2003 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mehrota R, Khanna R. Peritoneal ultrafiltration for chronic congestive heart failure: rationale, evidence and future. Cardiology 2001; 96: 177–182.Google Scholar
Elhalel-Dranitzki M, Rubinger D, Moscovici A, et al. CAPD to improve quality of life in patients with refractory heart failure. Nephrol Dial Transplant 1998; 13: 3041–3042.Google Scholar
Stegmayr BG, Banga R, Lundberg L, Wikdahl AM, Plum-Wirell M. PD treatment for severe congestive heart failure. Perit Dial Int 1996; 16 (Suppl 1): S231–S235.Google Scholar
Gokal R, Alexander S, Ash S, et al. Peritoneal catheters and exit-site practices toward optimum peritoneal access: 1998 update. Perit Dial Int 1998; 18: 11–33.Google Scholar
Po CL, Bloom E, Mischler L, Raja RM. Home ascites drainage using a permanent Tenckhoff catheter. Adv Perit Dial 1996; 12: 235–236.Google Scholar
Oreopoulos DG. Pathogenesis and management of complications of chronic peritoneal dialysis. Nephrol Dial Transplant 2001; 16 (Suppl 6): 103–105.Google Scholar
Keane WF, Bailie GR, Boeschoten E, et al. Adult peritoneal dialysis-related peritonitis treatment recommendations: 2000 update. Perit Dial Int 2000; 20: 396–411.Google Scholar
Yishak A, Bernadini J, Fried L, Piraino B. The outcome of peritonitis in patients on automated peritoneal dialysis. Adv Perit Dial 2001; 17: 205–208.Google Scholar
Goldberg L, Clemenger M, Azadian B, Brown EA. Initial treatment of peritoneal dialysis without vancomycin with a once-daily cefazolin-based regimen. Am J Kidney Dis 2001; 37: 49–55.Google Scholar
Kent JR, Almond MK. A survey of CAPD peritonitis management and outcomes in North and South Thams NHS regions (U.K.): support for the ISPD guidelines. Perit Dial Int 2000; 20: 301–305.Google Scholar