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[Emergency coronary artery bypass grafting in a chronic hemodialysis patient: a case report]
1Department of Cardiovascular Surgery, Koga Hospital, Kurume, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 1, 1993
Insights
Emergency coronary artery bypass grafting (CABG) in hemodialysis patients can cause acute hyperkalemia. Hemodialysis effectively managed this complication, showing it
Area of Science:
- Cardiovascular Surgery
- Nephrology
- Critical Care Medicine
Background:
- Patients undergoing long-term hemodialysis present unique challenges for cardiovascular surgery.
- Acute hyperkalemia is a potential post-operative complication following coronary artery bypass grafting (CABG) in this population.
Abstract:
Emergency coronary artery bypass grafting (CABG) was performed on a 48-year-old male with a long-term hemodialysis history. Following the operation, the patient developed acute elevation of potassium. We applied hemodialysis and obtained beneficial beneficial results. No remarkable change on hemodynamics and coagulant system was observed. Hemodialysis should be recommended on an acute phase for the patients of good cardiac function with less bleeding during the operation.