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The Annals of Thoracic Surgery, Vol 50, 776-778, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Internal mammary artery revascularization in the patient on long-term renal dialysis

BP Blakeman, HJ Sullivan, BK Foy, PA Sobotka and R Pifarre
Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, IL 60153.

Twenty-six patients on long-term renal dialysis underwent coronary artery bypass grafting. The patients were divided into two groups: group 1, (16 patients) saphenous vein bypass grafts, and group 2, (10 patients) internal mammary artery in combination with saphenous vein bypass grafts. Both groups were similar in terms of cardiac hemodynamics and previous number of myocardial infarctions, though more group 1 patients were in New York Heart Association class III or IV. Patients in group 1 received 2.9 bypass grafts per patient; patients in group 2 received 4.0 bypass grafts per patient (4 with bilateral mammary arteries). No wound healing problems occurred in either group. Blood replacement was similar for both groups (group 1, 5.5 units/patient; group 2, 5.3 units/patient). More platelets were given to group 1 patients (16.2 units/patient) than group 2 patients (3.1 units/patient). We conclude that use of the internal mammary artery in patients on long-term renal dialysis does not alter wound healing or increase blood loss in this subset of patients.


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