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Ann Thorac Surg 1975;19:135-141
© 1975 The Society of Thoracic Surgeons


Articles

Cardiac Surgery in Patients Undergoing Renal Dialysis or Transplantation

John J. Lamberti, Jr., M.D., Lawrence H. Cohn, M.D., John J. Collins, Jr., M.D.*

From the Department of Surgery, Harvard Medical School, and the Division of Thoracic and Cardiac Surgery, Peter Bent Brigham Hospital, Boston, Mass.

Accepted for publication September 18, 1974.

* Address reprint requests to Dr. Collins, Peter Bent Brigham Hospital, 721 Huntington Ave., Boston, Mass. 02115.

The coexistence of organic cardiac disease and chronic renal failure presents a therapeutic dilemma. Cardiac operations have been performed on patients who were undergoing hemodialysis or who had had successful renal transplantation. There are several aspects of management of these patients which differ from those of the routine cardiac surgical patient. Guidelines for management are outlined and discussed.




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