Can The Dialysis Patient Be Done Bypass Heart Surgery?
Good afternoon, I want to ask
Thank you for the question.
Heart bypass surgery (coronary artery bypass grafting, CABG) is an effort to improve vascularization of the narrowed heart muscle (stenosis). In this operation, the doctor will transplant a blood vessel from another part of the body (usually from a vein in the thigh or an artery in the chest cavity), which is then affixed from a large artery (usually aortic) to a coronary artery that has passed through an area of the vein that has passed narrowed down. In this way, a new bypass will be formed that does not pass through the narrowed coronary arteries.
Underwent dialysis (hemodialysis), no matter how many years, is not an absolute contraindication to do CABG. However, this operation is not recommended for elderly people (over 85 years), people with mild symptoms of coronary heart disease that have little potential to develop into myocardial infarction or cardiac arrest, as well as people with other comorbid diseases, such as chronic obstructive pulmonary disease, pulmonary hypertension, and other systemic diseases.
Unfortunately, you did not explain specifically, what indications do dialysis on the patient in question. Therefore, we also have no authority to conclude the safety and risk if the patient is undergoing CABG. The good, you consult this directly with your doctor, internal medicine specialist, or surgeon who treats patients, right?
I hope this helps.