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Cardiac surgery in patients on hemodialysis: eight years experience of the Tunisian military hospital

Saudi journal of kidney diseases and transplantation, 2010-11, Vol.21 (6), p.1157-1164 [Peer Reviewed Journal]

COPYRIGHT 2010 Saudi Center for Organ Transplantation ;COPYRIGHT 2010 Medknow Publications and Media Pvt. Ltd. ;ISSN: 1319-2442 ;PMID: 21060199

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Title:
Cardiac surgery in patients on hemodialysis: eight years experience of the Tunisian military hospital
Author: Gharsallah, Hedi ; Trabelsi, Walid ; Hajjej, Zied ; Nasri, Mourad ; Lebbi, Anis ; Jebali, Mohamed Adel ; Ferjani, Mustapha
Subjects: Adult ; Aged ; Chronic kidney failure ; Complications and side effects ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - mortality ; Coronary Artery Bypass - statistics & numerical data ; Female ; Health aspects ; Heart ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - mortality ; Heart Valve Prosthesis Implantation - statistics & numerical data ; Hemodialysis ; Hospitals, Military ; Hospitals, Military - statistics & numerical data ; Humans ; Kidney Failure, Chronic - mortality ; Kidney Failure, Chronic - therapy ; Male ; Management ; Middle Aged ; Patient outcomes ; Renal Dialysis - adverse effects ; Renal Dialysis - mortality ; Renal Dialysis - statistics & numerical data ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Sex Factors ; Surgery ; Time Factors ; Treatment Outcome ; Tunisia - epidemiology ; Ventricular Function, Left
Is Part Of: Saudi journal of kidney diseases and transplantation, 2010-11, Vol.21 (6), p.1157-1164
Description: End-stage renal disease (ESRD) is known to be an important risk factor for cardiac operations performed with cardiopulmonary bypass. We investigated the influence of preoperative status on perioperative mortality and morbidity. We retrospectively analyzed data from 26 patients with ESRD, who were on maintenance dialysis and underwent a cardiac surgical procedure bet-ween 2000 and 2007. Of them, 61.5% of the patients had isolated coronary artery bypass grafting (CABG) and 38.5% had replacement or reconstruction of one or two valves. The perioperative mortality rate was 26% with five deaths occurring in patients undergoing CABG procedure. We found CABG procedure, being female and left ventricular (LV) function < 30% to be associated with a higher relative risk for perioperative death. In conclusion, our data suggest that both indi-cations and referral for surgical intervention for coronary artery disease may be delayed in pa-tients who have ESRD, contributing to the relatively high perioperative mortality.
Publisher: Saudi Arabia: Medknow Publications and Media Pvt. Ltd
Language: English
Identifier: ISSN: 1319-2442
PMID: 21060199
Source: MEDLINE
DOAJ Directory of Open Access Journals

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Cardiac surgery in patients on hemodialysis: eight years experience of the Tunisian military hospital

COPYRIGHT 2010 Saudi Center for Organ Transplantation ;COPYRIGHT 2010 Medknow Publications and Media Pvt. Ltd. ;ISSN: 1319-2442 ;PMID: 21060199

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