CORONARY ARTERY SURGERY IN PATIENTS WITH END STAGE RENAL DISEASE RECEIVING HEMODIALYSIS TREATMENT

Cevahir HABERAL, Cüneyt KELEŞ, Hasan Basri ERDOĞAN, Güçlü ELEVLİ, Bahadır DAĞLAR, Cevat YAKUT

Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, İSTANBUL

As a result of the innovations in the field of hemodialysis technology, life expectancy of the patients with chronic renal insufficency gets longer; so that the number of those patients coming to the cardiovascular surgery clinics with coronary artery disease complaints increase. Along with this, after the cardiac operations have become to be done more succesfully and widespreadly, also the patients with high risk began to be treated more succesfully.

The main cause of mortality in chronic renal insufficency patients on hemodialysis treatment is cardiovascular diseases. In this group of patients, risk of myocardial ischemia and infarction is increased when compared with the normal population.

In Koşuyolu Heart Education and Research Hospital, coronary revascularisation operations were applied on twelwe patients complaining from chest pain during the course of their hemodialysis therapies with serious lesions determined by the tests thereafter.

As a result of these operations; it can be said that in this group of patients, if suitable, the coronary artery bypass operation should be done without using the cardiopulmonary bypass technique, with the technique of the beating heart. However, if patient is not suitable for the this procedure, the classical cardiopulmonary bypass also can be used with low morbidity and mortality.

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