ISSN: 2149-2247 | E-ISSN: 2149-2549
Open Heart Surgery in Dialysis-Dependent Chronic Kidney Failure Patients: Clinical Experience [Erciyes Med J]
Erciyes Med J. 2014; 36(3): 123-126 | DOI: 10.5152/etd.2013.61

Open Heart Surgery in Dialysis-Dependent Chronic Kidney Failure Patients: Clinical Experience

Orhan Bozoğlan1, Bülent Meşe1, Erdinç Eroğlu1, Ekrem Doğan2
1Department of Cardiothoracic Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
2Department of Nephrology, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey

Objective: We aimed to present patients with dialysis-dependent chronic kidney failure who underwent open heart surgery.
Materials and Methods: Sixteen patients with dialysis-dependent end-stage chronic kidney failure (7 males, 9 females; mean age 62±11; range 30-75) were involved in the study. Coronary artery bypass surgery was performed for 12 patients, 2 patients underwent both coronary artery bypass surgery and aortic valve replacement, 1 underwent both ascending aorta and aortic valve replacement, and right atrial myxoma resection was performed for 1 patient. The preoperative, intraoperative, and postoperative data were analyzed retrospectively.
Results: Fourteen patients underwent coronary artery bypass surgery, and the mean distal bypass was found to be 3.07±0.9. The mean cross-clamp time was 50±27 minutes, and the total cardiovascular bypass duration was 87±40 minutes. None of the patients needed revision. The mean drainage volume was 500±150 milliliters. Atrial fibrillation occurred in 4 patients (25%), and all of them converted to sinus rhythm through medical treatment. One patient died on the second postoperative day because of fatal arrhythmia that occurred after dialysis, and 1 patient died because of low cardiac output during the intensive care follow-up. The mortality rate was 12.5%. The mean intensive care unit hospitalization time was 52±4 hours, and the total hospitalization time was 7±2 days.
Conclusion: Open heart surgery can be performed with acceptable mortality and morbidity rates for patients having dialysis-dependent chronic kidney failure.

Keywords: Chronic kidney failure, coronary artery bypass, hemodialysis

Orhan Bozoğlan, Bülent Meşe, Erdinç Eroğlu, Ekrem Doğan. Open Heart Surgery in Dialysis-Dependent Chronic Kidney Failure Patients: Clinical Experience. Erciyes Med J. 2014; 36(3): 123-126

Corresponding Author: Orhan Bozoğlan, Türkiye
LookUs & Online Makale