Complex Coronary Bypass Surgery In patients with Renal Failure & poor Heart Function with Uncontrolled Diabetes Mellitus . Mr.K. 70 years old had long standing uncontrolled diabetes. Due to that he first developed diabetic nephropathy & renal insufficiency & two silent myocardial infarctions. Due to these infarctions heart pumping capacity was reduced to 30%. Renal parameters showed raised Sr. Creatinine of 2.4 requiring large doses of diuretics.
This patient was admitted to intensive care due to recent episode of Left ventricular failure. He underwent aggressive anti-failure treatment with NIV. After optimal medical stabilisation by diuretics, inotropes, & diabetes control. He underwent coronary angiography which showed severe Triple vessel disease involving left main stem 70%, LAD-100%, RCA-100%, OM2-90%, D2-100% occlusion. He was advised coronary artery bypass surgery ( CABG). This…
