Pediatric Cardiac Surgery May Be Associated with Chronic Kidney Disease and Hypertension

Five years after cardiac surgery and cardiopulmonary bypass, 18% of patients had chronic kidney disease and 17% had hypertension.

Acute kidney injury (AKI) is a known complication of pediatric cardiac surgery; however, the long-term renal consequences of surgery are unknown. In a multicenter prospective cohort study of 131 patents (age range, 1 month to 18 years) who underwent cardiac surgery with cardiopulmonary bypass, researchers assessed kidney outcomes 5 years after surgery.

Overall, 44% of patients had postoperative AKI. At follow-up, the median serum creatinine estimated glomerular filtration rate (eGFR) was not statistically different between patients with and without postoperative AKI. However, the eGFR was <90 mL/minute/1.73 m² in 22% of patients without postoperative AKI versus none with postoperative AKI. Chronic kidney disease, defined as a composite of eG…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Pediatric Cardiac Surgery May Be Associated with Chronic Kidney Disease and Hypertension

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Reviewing Author