PMID: 6968544Sep 1, 1980Paper

Cardiac operation and end-stage renal disease

The Annals of Thoracic Surgery
B K MonsonH K Helseth

Abstract

From 1972-1979, 22 patients with end-stage renal disease underwent 23 cardiac operations involving the pump oxygenator. Fourteen patients had coronary artery bypasss, 2 had aortic valve replacement, 2 had mitral valve replacement (MVR), 2 had MVR with coronary artery bypass, and 2 had ascending aortic root replacement with a composite graft. One patient underwent successful reoperation for a false aneurysm of the left ventricle after MVR. There were 2 postoperative deaths, for a mortality of 9.1%. The patients undergoing coronary artery bypass had an average of 2.7 grafts and an average Functional Class improvement from New York Heart Association Class III or IV to Class I to II. Eighteen patients required preoperative and postoperative dialysis to control blood volume, potassium, and uremia. Four patients had functioning renal transplants, and 4 patients underwent subsequent successful renal transplantation. We conclude that: (1) patients who have transplants and require dialysis can be successfully managed for cardiac operation in spite of their complex associated medical problems; (2) functional and symptomatic improvement simplifies continued management of the patient needing dialysis; and (3) improvement of a cardiac disab...Continue Reading

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Citations

Sep 2, 2000·The Annals of Thoracic Surgery·R J KaplonN G Smedira
Dec 5, 1997·The Annals of Thoracic Surgery·S N MitrukaS M Pham
May 31, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Michelle S C KhooRichard Engleman
Oct 30, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·S A SimsirB M Smith
Jan 1, 1991·Mayo Clinic Proceedings·T D BatiukT A Orszulak
Mar 1, 1993·The Annals of Thoracic Surgery·W KoO W Isom
Mar 1, 1989·Chest·B M BlakemanM Bakhos
Jul 1, 1986·The Annals of Thoracic Surgery·J L ZamoraG P Noon
Mar 1, 1994·The Annals of Thoracic Surgery·T K KaulD R Kahn
May 15, 1994·The American Journal of Cardiology·L M ReusserM H Crawford
Aug 1, 1986·The Annals of Thoracic Surgery·K H LawsH W Bender
Oct 6, 1999·The Annals of Thoracic Surgery·M Frenken, A Krian
Jan 1, 1997·The Annals of Thoracic Surgery·C DreslerH G Borst
Jul 18, 2002·The Annals of Thoracic Surgery·William T BrinkmanJoseph M Craver
Aug 4, 2015·The Annals of Thoracic Surgery·Ahmet Dolapoglu, Ilimbek Beketaev
Dec 9, 2014·The Annals of Thoracic Surgery·Pascal M DohmenFriedrich W Mohr
Nov 1, 1990·The Annals of Thoracic Surgery·B P BlakemanR Pifarre
Dec 6, 2003·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Masaki OtakiHidetaka Oku
Apr 25, 2001·Artificial Organs·H HiroseN Nagano
Mar 1, 1996·Journal of Cardiac Surgery·L E SamuelsS K Brockman
Nov 10, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·T J RabelinkP de Jaegere

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