Cardiac Operation and End-Stage Renal Disease

Bjorn K. Monson, Per H. Wickstrom, John J. Haglin, Gary Francis, Christina M. Comty, Hovald K. Helseth

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

From 1972 to 1979, 22 patients with end-stage renal disease underwent 23 cardiac operations involving the pump oxygenator. Fourteen patients had coronary artery bypass, 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 or 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 disability can allow favorable renal transplantation in selected patients.

Original languageEnglish (US)
Pages (from-to)267-272
Number of pages6
JournalAnnals of Thoracic Surgery
Volume30
Issue number3
DOIs
StatePublished - Jan 1 1980

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