Microalbuminuria and XXXX after elective repair of @entity1028 .

@entity1 @entity644 @entity8 @entity697 @entity177 @entity1011 @entity1028 @entity454
AIMS: @entity8 affects the prognosis of @entity1 after aortic surgery. However, the factors associated with the postoperative @entity177 has not been clarified precisely. METHOD: We prospectively examined renal function in 80 @entity1 (age: 73 +/- 7 years, 66 males) who required the elective repair of @entity1028 ( @entity1028 ). Serum @entity1011 (Scr) was measured. 24-h- @entity1011 clearance (Ccr) and urinary albumin excretion (UAE) were determined. Renal volume and mean renal length were calculated using the data obtained by ultrasonography. 48 @entity1 showed normal UAE (< 30 mg/day), and 24 had microalbuminuria (30-300 mg/day) and 8 had overt @entity644 (> 300 mg/day). Scr were 0.9 +/- 0.4, 1.0 +/- 0.3 and 2.1 +/- 1.3 mg/dl, respectively. RESULTS: On Day 5 after surgery, 12 @entity1 (15%) showed @entity177 as defined either by an increase in Scr (> or = 0.5 mg/dl) or by a decrease in Ccr > or =20%). The acute @entity177 was related to mean renal volume, mean renal length, duration of operation and the use of antibiotics. At Month 12 after surgery, Scr increased in the overt @entity644 group. The @entity177 at Month 12 was found in 8 @entity1 (10%) with microalbuminuria or overt @entity644 , and related to preoperative Ccr, UAE, mean renal volume, mean renal length, smoking status and blood pressure. CONCLUSION: We conclude that the @entity177 occurred in considerable number of @entity1 with @entity1028 after elective operation on acute and chronic phase, although the development of @entity454 is rare. Factors related to the @entity697 appears to be different. UAE and renal size should be measured, even if Scr is in normal range at preoperative observation.
