AORTOCORONARY BYPASS-SURGERY FOR CORONARY HEART-DISEASE IN PATIENTS WITH END-STAGE RENAL-DISEASE

Objective: To determine retrospectively the complications and long-ter m results of aortocoronary bypass grafting in patients with end-stage renal disease. Patients and methods: 65 patients with coronary heart d isease (CHD) and on dialysis (54 men, 11 women; average age 56.9 +/- 8 .1 years) underwent aortocoronary bypass grafting between 1982 and 199 2. Mean duration of dialysis (haemo- or peritoneal) was 41.1 +/- 45.0 (1-215)months. All patients had had haemofiltration treatment in conju nction with the bypass operation. Results: Coronary angiography demons trated triple-vessel disease in 40 patients (62%). Average number of b ypasses was 2.8 per patient. Perioperative death rate was 4.6%. 95% of survivors were free of symptoms 6 months postoperatively. Long-term s urvival rate was 71% after 3 years and 55% after 5 years. Conclusion: Aortocoronary bypass grafting for CHD in patients with end-stage renal disease can be performed with a low perioperative mortality rate and significantly improves symptoms.