A Case of Transient Central Diabetes Insipidus after Aorto-Coronary Bypass Operation
Journal of Korean Medical Science
;
: 1109-1113, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-157108
ABSTRACT
Diabetes insipidus (DI) is characterized by excessive urination and thirst. This disease results from inadequate output of antidiuretic hormone (ADH) from the pituitary gland or the absence of the normal response to ADH in the kidney. We present a case of transient central DI in a patient who underwent a cardiopulmonary bypass (CPB) for coronary artery bypass grafting (CABG). A 44-yr-old male underwent a CABG operation. An hour after the operation, the patient developed polyuria and was diagnosed with central DI. The patient responded to desmopressin and completely recovered five days after surgery. It is probable that transient cerebral ischemia resulted in the dysfunction of osmotic receptors in the hypothalamus or hypothalamus-pituitary axis during CPB. It is also possible that cardiac standstill altered the left atrial non-osmotic receptor function and suppressed ADH release. Therefore, we suggest that central DI is a possible cause of polyuria after CPB.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Hipófisis
/
Poliuria
/
Complicaciones Posoperatorias
/
Imagen por Resonancia Magnética
/
Puente de Arteria Coronaria
/
Vasos Coronarios
/
Diabetes Insípida Neurogénica
/
Desamino Arginina Vasopresina
/
Fármacos Antidiuréticos
/
Hipotálamo
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2012
Tipo del documento:
Artículo
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