A child is postoperative day 2 following a heart transplant. Which of the following suggests that the complications are likely related to prolonged clamping of the aorta?
Prolonged aortic cross-clampingcan impairrenal perfusion, especially during cardiac surgery.Decreased urine outputpostoperatively may be a sign ofacute kidney injury (AKI)secondary to hypoperfusion during the clamping phase.
“Renal hypoperfusion during prolonged aortic cross-clamping may manifest postoperatively as oliguria or anuria, indicating renal compromise.”
(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Postoperative Transplant Complications)
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