Cardiac Surgery in Chronic Renal Disease

Sait AŞLAMACI, Atilla SEZGİN, Atılay TAŞDELEN, Bahadır GÜLTEKİN, Coşkun İKİZLER

Başkent Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı

Three thousand seventy six patients were operated between January 1990 and December 1995 in department of Cardiovascular Surgery Başkent University School of Medicine. Ten of them had Chronic Renal Insufficiency, 6 were at terminal stage, 4 were compensated.

Seven of the patients had Coronary Bypass Grafting, 2 had aortic valve replacement and 1 had coronary bypass grafting and mitral valve replacement because of ischemic mitral valve insufficiency. Functional capacity of patients according to New York Heart Association: 4 patients were class II, 5 patients were class III, 1 was class IV. Veno-venous hemo-diafiltration was performed in patients with decompansated renal insufficiency, in order to keep fluid and electrolyte balance. One patient with functional capacity of class IV died because of low cardiac output at the early postoperative period. This patient has had coronary bypass grafting and mitral valve replacement. No complications were seen in other patients. At follow-ups symptoms recovered and patients had better functional capacity.

These results show that cardiac surgery can be performed with acceptable morbidity and mortality in patients with Chronic Renal Insufficiency and cardiac disease.

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