ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aortocoronary Bypass Operation in The Dialysis-Dependent Patient With Chronic Renal Failure
Hasan TÜZÜN, Hasan SUNAR, Kürşad BOZKURT, Kazım BEŞİRLİ, Kamil KAYNAK, Said BURHANİ, Fikret Sami VURAL, *Hülya EROLÇAY, **Meltem AYAZ
İ.Ü. Cerrahpaşa Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi ABD, İstanbul
*İ.Ü. Cerrahpaşa Tıp Fakültesi, Anesteziyoloji ve Reanimasyon ABD, İstanbul
**İ.Ü. Cerrahpaşa Tıp Fakültesi, Nefroloji Bilimdalı, İstanbul
Aortocoronary bypass was performed in a dialysis-dependent patient with chronic renal failure. He had symptoms of ischemic heart disease for seven years and a recent myocardial infarction. Angiocardiography revealed a triple vessel disease. Hemodialysis performed one day before the operation provided optimal conditions. Triple aortocoronary bypass was undertaken with saphenous vein grafts. For the first four postoperative days fluid-elcctrolyte balance and acidosis were maintained by hemodiafiltration. There were no bleeding problems in the por and postoperative periods. Despite the increased morbidity and mortality risks in dialysis-dependent patients, coronary bypass operations should be considered to improve survival and life quality.
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