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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
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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

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