Outcome of coronary artery bypass surgery in diabetic transplant candidates

Connie L. Manske, Satyanarayana Nelluri, William Thomas, Sara J. Shumway

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Insulin-dependent diabetic (IDDM) patients with end-stage renal disease and coronary artery stenoses ≥ 75% have a poor prognosis. However, information is lacking on the morbidity and mortality of the coronary artery bypass operation in this group. We studied 30 consecutive IDDM transplant candidates undergoing a bypass operation to determine the incidence of complications and long-term outcome. Perioperative mortality was 3% and the complication rate was 60%. During follow-up, five patients experienced six myocardial infarctions, the majority within six months of operation. Twenty-one patients underwent successful kidney transplantation after the bypass operation. Overall patient survival was 80%, 73%, and 66% at 1, 2 and 4 yr. In summary, the coronary artery bypass procedure in IDDM transplant candidates has a high morbidity, but the long-term outcome is good. Appropriately counseled IDDM transplant candidates with coronary artery disease should be considered for coronary revascularization and subsequent transplantation.

Original languageEnglish (US)
Pages (from-to)73-79
Number of pages7
JournalClinical Transplantation
Issue number2
StatePublished - Apr 1998


  • Coronary artery bypass
  • Diabetes coronary artery disease
  • Renal transplantation


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