Considerations in the management of open-heart surgery in uremic patients
| Autor: | Richard C. Shaw, John P. Connors |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Major Operative business.industry medicine.medical_treatment Incidence (epidemiology) medicine.disease Surgery Cardiac procedures medicine Subacute bacterial endocarditis Hemodialysis Cardiology and Cardiovascular Medicine business Medical therapy |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 75:400-404 |
| ISSN: | 0022-5223 |
| Popis: | Life-threatening complications involving the central circulation commonly occur in uremic patients. The growing number of individuals maintained on long-term hemodialysis along with repeated demonstrations of their ability to tolerate major operative procedures are responsible for increasing surgical experience in this group. Despite a high incidence of subacute bacterial endocarditis (SBE) and accelerated coronary-atherosclerosis, exposure of such patients to open-heart operations has been limited. Our management of two patients who recently underwent valvular replacement is outlined and a review of the literature revealed that, during the past decade, 20 uremic patients have undergone a variety of cardiac procedures. The catastrophic results of medical therapy in such individuals with SBE are emphasized and early surgical intervention is recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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