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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is An Open Heart Surgery Advisable In A Kidney Patient?

My friend has Chronic Kidney Disease and is on dialysis. He has recently been diagnosed with three leaking heart valves and has been advised to have open heart surgery within the next few weeks. In researching I am concerned about the very high risks involved, especially that he may not make it through the surgery. He has been told that not having the surgery, the likelihood of survival would probably be no more than two years, if not sooner. I am worried that the surgery and recovery may shorten his life sooner than not doing the surgery. Please give me your expert thoughts?
Mon, 25 Jun 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would like to tell you that there is already a high risk of death with three leaking valves which definitely requires repair but how much patient is fit for surgery and other risk factors including his kidney disease is to be evaluated by his cardiac anesthetist or cardiac surgery team by doing some physical and diagnostic evaluation.

Kindly speak to your Cardiologist or Cardiac surgeon for risk stratification and expected outcome of surgery.

I hope this information will answer your query.

Kind Regards
Dr. Bhanu Partap
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Is An Open Heart Surgery Advisable In A Kidney Patient?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that there is already a high risk of death with three leaking valves which definitely requires repair but how much patient is fit for surgery and other risk factors including his kidney disease is to be evaluated by his cardiac anesthetist or cardiac surgery team by doing some physical and diagnostic evaluation. Kindly speak to your Cardiologist or Cardiac surgeon for risk stratification and expected outcome of surgery. I hope this information will answer your query. Kind Regards Dr. Bhanu Partap