Korean J Thorac Cardiovasc Surg.
1999 Sep;32(9):835-839.
"Off-pump" Coronary Artery Bypass Graft in the Chronic Renal Failure Patients:
3 Cases Report
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery,
Seoul National University Hospital, Seoul National University,
College of Medicine, Seoul, Korea.
Abstract
-
Since the first report of coronary artery bypass grafting (CABG) in patients with end-stage
renal disease in 1974, numerous reports have documented the feasibility of CABG in patients
with chronic renal diseases. Patients with chronic renal failure often have comorbid disorders
such as hypertension, and diabetes mellitus, each with their own complications and associated
impact on both short and long-term survivals. In addition, infection and sepsis have been
identified as significant causes of morbidity and mortality in most series of patients
with end-stage renal disease undergoing cardiac surgical procedure. As a result of these
and other factors such as perioperative volume and electrolyte disturbances, patients with
chronic renal failures are at an increased risk of complication and mortality after CABG.
We report 3 cases of "Off-pump" CABG in the chronic renal failure patients.