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[Open heart surgery in three patients receiving dialysis for more than 20 years]

[Open heart surgery in three patients receiving dialysis for more than 20 years]

Authors :
T, Ishida
H, Nishida
Y, Tomizawa
S, Noji
K, Uwabe
H, Tomioka
A, Morishita
M, Endo
H, Koyanagi
Source :
Kyobu geka. The Japanese journal of thoracic surgery. 53(6)
Publication Year :
2000

Abstract

In Japan, the number of chronic hemodialysis (HD) patients is increasing, and there are 7,000 cases with a more than 20 year history of HD. At our institute, we have experienced 135 cases of open heart surgery in patients on HD, including 92 isolated CABG cases and 43 other open heart surgery cases. However, open heart surgery for patients with a more than 20 year history on HD is rare. Open heart surgery on HD patients is rather difficult, since perioperative management can be complicated and special care must be taken for prophylaxis of infection, fluid and electrolyte management and anticoagulation therapy. Many complications have been published in HD patients. At our institute, 3 cases of open heart surgery in patients with more than a 20 year history of HD have been performed. These included triple CABG, double CABG + AVR and double CABG in a post-kidney transplantation patient. They were discharged uneventfully with angiographically patent grafts. It is concluded that for CABG in patients on HD, aggressive use of arterial conduits for revascularization is recommended. For patients with a transplanted kidney, careful management against dysfunction and rejection is necessary.

Details

ISSN :
00215252
Volume :
53
Issue :
6
Database :
OpenAIRE
Journal :
Kyobu geka. The Japanese journal of thoracic surgery
Accession number :
edsair.pmid..........431114b32a744f91cb6c0e687e33573c