PMID- 8049936
OWN - NLM
STAT- MEDLINE
DCOM- 19940906
LR  - 20041117
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 2
IP  - 1
DP  - 1994 Feb
TI  - Early and long-term results of cardiac surgery in dialysis patients.
PG  - 97-100
AB  - Cardiac surgery in patients receiving dialysis has a high mortality and 
      morbidity. Early long-term results have been analysed following various cardiac 
      operative procedures. Between 1981 and 1992, 40 patients, of mean age 55.7 (range 
      31-71) years underwent cardiac surgery. Procedures included coronary artery 
      bypass grafting (20 patients), aortic valve replacement (six), mitral valve 
      replacement (four), aortic valve or mitral valve plus coronary artery bypass 
      grafting (one each), aortic plus mitral valves (two), heart and renal 
      transplantation (one each), atrial septal defect closure (one) and pericardial 
      decortication (three). Before surgery, patients were in the New York Heart 
      Association (NYHA) classes II (5%), III (52.2%) and IV (42.5%). The operative 
      mortality rate was 15%; survivors were in NYHA classes I (3%), II (88.2%) and III 
      (8.8%). There were 11 late deaths. Follow-up at a mean of 35 (range 1-93) months 
      showed actuarial survival rates of 91% (1 year) and 69% (5 years). After coronary 
      artery bypass grafting, survival rates were 95% (1 year) and 72% (5 years). 
      Survivors were in NYHA classes I (4.7%), II (85.5%) and III (9.5%). Cardiac 
      surgery in dialysis patients is associated with an acceptable hospital mortality; 
      quality of life in long-term survivors is increased. Hence, surgical treatment is 
      advocated in patients with symptomatic heart disease. Early diagnosis and 
      surgical intervention in NYHA class II patients may lead to a lower perioperative 
      mortality.
FAU - Blum, U
AU  - Blum U
AD  - Department of Thoracic and Cardiovascular Surgery, University Hospital 
      Frankfurt-am-Main, Germany.
FAU - Skupin, M
AU  - Skupin M
FAU - Wagner, R
AU  - Wagner R
FAU - Matheis, G
AU  - Matheis G
FAU - Oppermann, F
AU  - Oppermann F
FAU - Satter, P
AU  - Satter P
LA  - eng
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiac Surgical Procedures/*mortality
MH  - Coronary Artery Bypass/mortality
MH  - Female
MH  - Heart Transplantation/mortality
MH  - Heart Valve Prosthesis/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life
MH  - *Renal Dialysis
MH  - Survival Rate
EDAT- 1994/02/01 00:00
MHDA- 1994/02/01 00:01
CRDT- 1994/02/01 00:00
PHST- 1994/02/01 00:00 [pubmed]
PHST- 1994/02/01 00:01 [medline]
PHST- 1994/02/01 00:00 [entrez]
PST - ppublish
SO  - Cardiovasc Surg. 1994 Feb;2(1):97-100.