Abstract
Renal complications were recorded in altogether 59 of 423 patients following operation with extracor-poreal circulation between December, 1959, and July, 1966, at the Department of Thoracic Surgery in Stockholm; these postoperative renal complications were slight in 46 and severe in 13 cases. The terms slight and severe renal complication are defined. The slight renal complication was of no clinical significance, while the severe renal complication were of utmost importance and carried a high mortality rate—only one of the thirteen patients in the group survived. The results at the start of the period, when the perfusion was done with whole blood, are compared with those recorded in the later part of the period when haemodilution was used and modifications were made in the machine. A striking reduction in haemolysis and a decrease in the incidence of renal complication were noted in the later part of the period. The causes of the severe renal complications are discussed. It would seem that low arterial pr...
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