ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Open Heart Surgery in Patients With Chronic Hemodialysis Dependent Renal Insufficiency
Öztekin OTO, Ünal AÇIKEL, Özalp KARABAY, Hakkı KAZAZ, Eyüp HAZAN, Erdem SİLİSTRELİ, Hüdai ÇATALYÜREK, *Taner ÇAMSARI, **Sema GÜNERİ
Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi Anabilim Dalı
*Nefoloji Anabilim Dalı
**Kardiyoloji ABD
By the application of dialysis techniques, the quality of life and long-term prognosis are improved for end stage renal failure at the last years. Hemodialysis patients suffer a higher risk of morbidity and mortality secondary to cardiovascuiar disease. The mortality rate is 30-53%. We performed a retrospective analysis of 16 patients with end stage renal failure who undenvent extracorporeal circulation and beating heart by-pass surgery during Jan. 1995 and Oct. 1998. Four of 16 patients were women. The functional classification stages of the patients were: Stage II (4), Stage III (8), Stage IV (4). The conditions leading to open heart surgery were: Coronary artery by-pass surgery (11), valve replacement (3), coronary artery by-pass surgery and valve replacement (1), VSD restoration (1). The early mortality is l (%6.2). The average length of stay in the intensive care unit is 3.4 days (1.5-26 days). The average hospital stay İs 11 days (7-26 days). Patients on chronic dialysis should undergo cardiac surgery if the preoperative diagnostic steps confirm the indication and the operations can be performed with accetable morbidity and mortality.
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