PMID: 8452430Mar 1, 1993Paper

Cardiopulmonary bypass procedures in dialysis patients

The Annals of Thoracic Surgery
W KoO W Isom

Abstract

To determine the operative outcome of chronic renal failure patients, we retrospectively reviewed twenty-five consecutive adult patients with chronic renal failure dependent on maintenance hemodialysis (21) or peritoneal dialysis (3), who underwent cardiopulmonary bypass procedures over a five-year period in our institution. The operations included isolated coronary artery bypass grafting in 16 patients; aortic valve replacement in 3; aortic valve replacement plus mitral valve replacement in 1; aortic valve replacement, mitral valve replacement, and coronary artery bypass grafting in 2; aortic valve replacement and coronary artery bypass grafting in 1, mitral valve replacement and coronary artery bypass grafting in 1, and repair of a thoracoabdominal aortic aneurysm in 1 patient. Fourteen operations were elective, and 11 were urgent or emergent. The number of patients with good (> 0.50), fair (0.30 to 0.50), and poor (< 0.30) left ventricular ejection fractions were 13, 9, and 3, respectively. There were 0, 7, 7, and 11 patients in New York Heart Association functional classification I, II, III, and IV, respectively. All patients were dialyzed within 24 hours before operation. All but 3 patients were managed by immediate postop...Continue Reading

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