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Cardiac Surgery in Chronic Renal Failure - part 2

vì hầu hết các trường hợp này van không nổi, sự phức tạp của quản lý những bệnh nhân này đầy thách thức, nó có thể là giá trị xem xét chuyển bệnh nhân đến các trung tâm phẫu thuật tim với một quan tâm (a), và / hoặc (b) kinh nghiệm với những bệnh nhân này phức tạp? Cuối cùng, tiến sĩ. Kelly và Shumway cung cấp một xem xét | Foreword xiii the question that since most of these valve cases are not emergent given the complexity of managing these challenging patients might it be worth considering transferring these patients to cardiac surgery centers with a an interest in and or b more experience with these complex patients Finally Drs. Kelly and Shumway offer a review of the surgical evaluation and treatment of uremic pericarditis. This chapter covers the incidence etiology diagnosis and management of this problem pointing out the many challenges that exist. Medical percutaneous and surgical therapies are described and the unique nature of uremic pericarditis and associated effusions in comparison to the non-uremic variety is well characterized. At the outset Dr. Slaughter states that this book is intended for the trainee and or the practitioner in cardiology cardiac surgery who will be caring for the patient with ESRD who has manifestations of CVD. This book will serve as an excellent reference for this field. With the increasing incidence of renal failure in our population and the prevalence of cardiovascular disease in this population this will constitute an ever-growing segment of the patients requiring cardiovascular care especially at specialized centers. There is a great need for evidence-based therapies for these patients. Hopefully this book will serve to stimulate trials of competing and complementary therapies so that the outcomes for these unfortunate patients can be improved. Dr R. Morton Bolman III MD Brigham Women s Hospital Boston USA January 2007 Cardiac Surgery in Chronic Renal Failure Edited by Mark S. Slaughter Copyright 2007 Blackwell Publishing Ltd CHAPTER 1 Dialysis and the chronic renal failure patient Ejikeme O. Obasi Rakhi Khanna Vidya Naidu Kelly E. Guglielmi Demetrios Zikos Overview The end-stage renal disease ESRD population has been increasing steadily in all parts of the world 1-3 . Data from the 2000 U.S. Renal Data System Annual Data Report USRDS-ADR show