Abstract | BACKGROUND: OBJECTIVE: METHODS: Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012. RESULTS: High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality. CONCLUSION:
Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions.
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Authors | Matheus Miranda, Nelson Américo Hossne Jr, João Nelson Rodrigues Branco, Guilherme Flora Vargas, José Honório de Almeida Palma da Fonseca, José Osmar Medina de Abreu Pestana, Yara Juliano, Enio Buffolo |
Journal | Arquivos brasileiros de cardiologia
(Arq Bras Cardiol)
Vol. 102
Issue 2
Pg. 128-33
(Feb 2014)
ISSN: 1678-4170 [Electronic] Brazil |
PMID | 24270865
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Coronary Artery Bypass
(adverse effects)
- Coronary Artery Disease
(mortality, surgery)
- Female
- Hospital Mortality
- Hospitalization
- Hospitals, University
(statistics & numerical data)
- Humans
- Intraoperative Complications
- Kidney Failure, Chronic
(mortality, surgery)
- Male
- Middle Aged
- Postoperative Complications
- Renal Dialysis
(adverse effects)
- Retrospective Studies
- Risk Factors
- Tertiary Care Centers
(statistics & numerical data)
- Time Factors
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