Temporary diabetes insipidus in 2 men after on-pump coronary artery bypass grafting

Many complications have been reported after cardiopulmonary bypass. A common physiologic change during the early postoperative period after cardiopulmonary bypass is increased diuresis. In patients whose urine output is increased, postoperative diabetes insipidus can develop, although reports of thi...

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Bibliographic Details
Published in:Texas Heart Institute journal 2013, Vol.40 (1), p.99-101
Main Authors: Uyar, Ihsan Sami, Sahin, Veysel, Akpinar, Besir, Yurtman, Volkan, Abacilar, Feyzi, Okur, Faik Fevzi, Ates, Mehmet
Format: Article
Language:English
Subjects:
Administration, Intranasal
Aged
Antidiuretic Agents - administration & dosage
Cardiopulmonary Bypass - adverse effects
Case Reports
Coronary Artery Bypass - adverse effects
Deamino Arginine Vasopressin - administration & dosage
Diabetes Insipidus - diagnosis
Diabetes Insipidus - drug therapy
Diabetes Insipidus - etiology
Diabetes Insipidus - physiopathology
Drug Administration Schedule
Humans
Male
Middle Aged
Recovery of Function
Time Factors
Treatment Outcome
Urination
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Summary:Many complications have been reported after cardiopulmonary bypass. A common physiologic change during the early postoperative period after cardiopulmonary bypass is increased diuresis. In patients whose urine output is increased, postoperative diabetes insipidus can develop, although reports of this are rare. We present the cases of 2 patients who underwent on-pump coronary artery bypass grafting (with cardiopulmonary bypass). Each was diagnosed with diabetes insipidus postoperatively: a 54-year-old man on the 3rd day, and a 66-year-old man on the 4th day. Each patient recovered from the condition after 6 hours of intranasal therapy with synthetic vasopressin (antidiuretic hormone). The diagnosis of diabetes insipidus should be considered in patients who produce excessive urine early after cardiac surgery in which cardiopulmonary bypass has been used.
ISSN:0730-2347
1526-6702