Mortality and results after cardiac surgery in patients with end-stage renal disease

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To assess risk and intermediate results, 36 consecutive patients with end-stage renal disease (ESRD) who underwent 36 cardiac operations at The Cleveland Clinic Foundation from 1980 to 1986 were studied. Such surgery can be done with acceptable risk and yields satisfactory symptomatic relief. Survival at five years after operation equals that of the general ESRD population, but is lower than that of nonuremic patients after cardiac surgery. This is largely influenced by the high prevalence of noncardiac morbid conditions in the ESRD group.



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