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We report a case of rhabdomyolysis during a perioperative period after cardiac surgery. A 47-yearold man underwent aortic root replacement for annuloaortic ectasia under general anesthesia using sevoflurane, fentanyl, remifentanil, rocronium bromide and midazolam. On the 1st postoperative day (1 POD), his body temperature rose over 38 ℃, which continued for 3 days despite our attempt to stabilize the fever. On 4 POD, his laboratory data and hemodynamics dramatically worsened, and we commenced continuous hemodialysis filtration (CHDF) an