Avoidance of Dialysis in an End-Stage Renal Disease Patient Status-post Off-pump Coronary Artery Bypass Grafting

Siordia, Juan and Subramanian, Sreekumar (2017) Avoidance of Dialysis in an End-Stage Renal Disease Patient Status-post Off-pump Coronary Artery Bypass Grafting. Journal of Cardio-Thoracic Medicine, 5 (1). pp. 543-546.

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Abstract

Certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (CABG) as compared with the on-pump CABG. The superiority is more evident in patients with multiple co morbidities including renal failure.We reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-stage renal disease. The case was suffering from dyspnea and work-up was suggestive of non-ST elevation myocardial infarction and congestive heart failure.During the hospital course, he developed end-stage renal disease requiring hemodialysis. Further cardiac evaluation presented three-vessel coronary artery disease. The patient underwent off-pump CABG. Post-operatively, the patient had minimal complications and did not receive hemodialysis for 53 days.Off-pump CABG has evident short-term benefits for patients with the end-stage renal disease requiring dialysis, including possible improvement in cardiac function and avoidance of hemodialysis

Item Type: Article
Subjects: WG Cardiovascular System
WO Surgery
Divisions: Journals > J Cardio-Thoracic Medicine
Depositing User: jctm jctm
Date Deposited: 13 Sep 2017 12:19
Last Modified: 13 Sep 2017 12:19
URI: http://eprints.mums.ac.ir/id/eprint/587

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