Linked Life Data

1439651

Source:http://linkedlifedata.com/resource/pubmed/id/1439651

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1992-12-17
pubmed:abstractText
The management and outcome of open-heart surgery in 31 patients requiring chronic hemodialysis because of end-stage renal failure are reviewed. The reasons for surgery were coronary artery disease (20 cases), mitral valvulopathy (5, including 3 with tricuspid insufficiency), aortic valvulopathy (5, including 2 with coronary artery disease) and perforation of an aortic aneurysm into the left upper lung lobe. Surgery was elective in all but the last case. Apart from double venous cannulation to avoid potassium overload after cardioplegia, and hemofiltration in the extracorporeal circulation permitting removal of 1,500-2,000 ml fluid during bypass, procedure was routine. Postoperatively fluids were restricted and serum potassium levels were not allowed to exceed the known preoperative maximum. Four patients required catecholamine support for 3-10 hours. Thirty were weaned from the respirator after 8-41 (mean 16) hours. The one perioperative death was due to complications associated with post-bypass administration of protamine. Dialysis was restarted 20-69 (mean 32) hours postoperatively. With appropriate management of fluid balance and potassium, open-heart surgery in dialysis-dependent patients need not carry heightened risk.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0036-5580
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
97-100
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
Open-heart surgery in patients requiring chronic hemodialysis.
pubmed:affiliation
Division of Thoracic and Cardiovascular Surgery, Surgical Center, Hannover Medical School, Germany.
pubmed:publicationType
Journal Article