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[Cardiac surgery for chronic dialysis patients].
Minami, H; Kuinose, M; Murakami, T; Kuroki, K; Kanaoka, Y; Tanemoto, K.
Afiliação
  • Minami H; Department of Cardiovascular Surgery, Iwakuni National Hospital, Iwakuni, Japan.
Kyobu Geka ; 55(10): 867-70, 2002 Sep.
Article em Ja | MEDLINE | ID: mdl-12233107
ABSTRACT
Chronic dialysis patients who received open heart surgery were examined, and main concern was perioperative management. There were 12 chronic dialysis patients and open heart surgeries were performed between October 1990 and June 2000. The patients were comprised of 7 men and 5 women with the average age being 64 with plus or minus 7.9. The operative procedure of 6 coronary artery bypass grafting (CABG) [on-pump], 1 CABG + mitral valve replacement (MVR), 3 aortic valve replacement (AVR), 1 mitral valvuloplasty (MVP) and 1 ascending aorta replacement were performed. All patients were discharged from the hospital with good conditions 27.1 days after operation. There were no hospital deaths. One postoperative complication of mediastinitis of the sternum has been found. A conventional dialysis was performed the day before the operation and an intra-operative hemodialysis (HD) was performed, placing a dialyzer into a cardiopulmonary system during the operation. For the perioperative management, HD was started the day or 2 days after the operation with no immediate postoperative hemocatharsis and returned to the normal HD 7 days after the operation. The result of the perioperative management has been good.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próteses Valvulares Cardíacas / Ponte de Artéria Coronária / Diálise Renal / Assistência Perioperatória Limite: Aged / Female / Humans / Male / Middle aged Idioma: Ja Revista: Kyobu Geka Ano de publicação: 2002 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próteses Valvulares Cardíacas / Ponte de Artéria Coronária / Diálise Renal / Assistência Perioperatória Limite: Aged / Female / Humans / Male / Middle aged Idioma: Ja Revista: Kyobu Geka Ano de publicação: 2002 Tipo de documento: Article