Gharsallah Hedi, Trabelsi Walid, Hajjej Zied, Nasri Mourad, Lebbi Anis, Jebali Mohamed Adel, Ferjani Mustapha
Department of Anesthesia and Intensive Care, Tunisian Military Hospital, Tunis, Tunisia.
Saudi J Kidney Dis Transpl. 2010 Nov;21(6):1157-64.
End-stage renal disease (ESRD) is known to be an important risk factor for cardiac operations performed with cardiopulmonary bypass. We investigated the influence of preoperative status on perioperative mortality and morbidity. We retrospectively analyzed data from 26 patients with ESRD, who were on maintenance dialysis and underwent a cardiac surgical procedure bet-ween 2000 and 2007. Of them, 61.5% of the patients had isolated coronary artery bypass grafting (CABG) and 38.5% had replacement or reconstruction of one or two valves. The perioperative mortality rate was 26% with five deaths occurring in patients undergoing CABG procedure. We found CABG procedure, being female and left ventricular (LV) function < 30% to be associated with a higher relative risk for perioperative death. In conclusion, our data suggest that both indi-cations and referral for surgical intervention for coronary artery disease may be delayed in pa-tients who have ESRD, contributing to the relatively high perioperative mortality.
