10th Congress of the Turkish Transplantation Centers Coordination AssociationRenal transplantationSimultaneous Cardiac Surgery and Renal Transplantation Compared With Renal Transplantation After Cardiac Surgery
Section snippets
Patients and Methods
Ninety-five patients with ESRD who were awaiting a transplant and had coronary artery disease diagnosed after cardiac screening tests in our clinic between March 2008 and August 2014 were analyzed retrospectively and were included in the study.
The patients were arranged into 2 groups: A and B. The separate surgeries group A consisted of 60 patients who had cardiac surgery first and then had renal transplantation surgery in the following 1 to 6 months. The combined surgeries group B consisted of
In-Hospital Mortality
The overall early (30-day) mortality rate was 5.0% in the separate surgeries group A (3 of 60 patients), and zero in the combined surgeries group B. Three of the patients from the separate surgeries group died while in the hospital after the surgery. One of these patients was a 31-year-old woman being treated with insulin for type 2 diabetes; her ejection fraction was 42% and she had undergone CABG and mitral valve replacement. She had been dependent on dialysis for 8 years. Intense inotropic
Discussion
Patients with end-stage renal disease form a high-risk group for cardiac surgery when compared with the general population and this situation adversely affects early and late results of cardiac surgery [7].
Approximately 35% to 50% of deaths in dialysis patients can be attributed to cardiovascular diseases [8].
Cardiac surgery applied to this group of patients incorporates a range of factors that increase mortality and morbidity during the perioperative period [9].
Patients' ability to handle
References (18)
- et al.
The scope of coronary heart disease in patients with chronic kidney disease
J Am Coll Cardiol
(2009) - et al.
Cardiopulmonary bypass procedures in dialysis patients
Ann Thorac Surg
(1993) Cardiac assessment for renal transplantation
Am J Transplant
(2006)- et al.
Cardiac surgery in renal transplant recipients: experience from Washington Hospital Center
Ann Thorac Surg
(2006) USRDS 2013 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States
(2013)- et al.
Chronic kidney disease, mortality, and treatment strategies among patients with clinically significant coronary artery disease
J Am Soc Nephrol
(2003) - et al.
Kidney disease as a risk factor for development of cardiovascular disease: a statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention
Circulation
(2003) Clinical epidemiology of cardiac disease in renal transplant recipients
Semin Dial
(2003)- et al.
Open heart surgery in patients with dialysis-dependent renal insufficiency
J Card Surg
(2001)