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Maitra G et al. – Postoperative renal dysfunction is a relatively common and one of the serious complications of cardiac surgery. Though off–pump coronary artery bypass surgery technique avoids cardiopulmonary bypass circuit induced adverse effects on renal function, multiple other factors cause postoperative renal dysfunction in these groups of patients. Some of the newer drugs like fenoldopam, atrial natriuretic peptide, N–acetylcysteine, clonidine and diltiazem have shown some promise in preventing renal dysfunction but more studies are needed to establish their role of renoprotection in cardiac surgery.

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