Mr. A. N. 62 years old male has multiple illness of diabetes, hypertension, peripheral
\nVascular disease and coronary artery disease since last 10 years . Recently he developed accelerated
\nHypertension and angina . For this coronary angiography was done which showed heavily calcified
\ncoronary arteries 100% occlusion of LAD & RCA with 90% block in circumflex artery LM 90% . His
\nheart pumping function was 40% . In other investigations he ha small right kidney as creatinine
\nclearance of 35 ml \/ s. creatinine 1.7 \u2013 2mg\/dl.
\nHe underwent full work up & taken up for urgent coronary artery bypass surgery earlier in
\nDecember.
\nHe underwent successful quadruple vessel coronary artery bypass surgery done on pump by Dr.
\nPavan Kumar at Lilavati Hospital . He had smooth post- op period and recovery. At time of
\ndischarged S. creatinine came down to 1.2 & heart function improved to 50% .<\/p>\n
Discussion \u2013 Severe left main coronary artery disease with moderate renal failure is always a
\ncomplex scene to handle. These patients can turn into complications of total renal shutdown an
\ntime during or after surgery. The protocol is to perform coronary bypass surgery on pump with use
\nof hemodialyzer. Hemodynamic monitoring & fluid \/ management by Swan Ganz catheter is also
\nvery useful for optimal outcome to protect kidneys & perform full coronary revascularisation which
\nis not so easy in off pump surgery. Dr Pavan Kumar has now large numbers such patients of renal
\nfailure undergoing successful CABG & well functioning kidneys after surgery<\/p>\n","protected":false},"excerpt":{"rendered":"
Mr. A. N. 62 years old male has multiple illness of diabetes, hypertension, peripheral Vascular disease and coronary artery disease since last 10 years . Recently he developed accelerated Hypertension and angina . For this coronary angiography was done which showed heavily calcified coronary arteries 100% occlusion of LAD & RCA with 90% block in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[131,27,135,132,134,115,87,133],"class_list":["post-150","post","type-post","status-publish","format-standard","hentry","category-angioplasty","tag-angina","tag-best-heart-surgeon-in-india","tag-cabg","tag-cardiac-surgeon","tag-complex-cabg-in-patient-of-renal-failure","tag-emergency-cabg","tag-heart-surgeon","tag-top-heart-surgeon-in-india"],"yoast_head":"\n