avoidance of dialysis in an end-stage renal disease patient status-post off-pump coronary artery bypass grafting

Certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (cabg) as compared with the on-pump cabg. the superiority is more evident in patients with multiple co morbidities including renal failure. we reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-stage renal disease. the case was suffering from dyspnea and work-up was suggestive of non-st elevation myocardial infarction and congestive heart failure. during the hospital course, he developed end-stage renal disease requiring hemodialysis. further cardiac evaluation presented three-vessel coronary artery disease. the patient underwent off-pump cabg. post-operatively, the patient had minimal complications and did not receive hemodialysis for 53 days. off-pump cabg has evident short-term benefits for patients with the end-stage renal disease requiring dialysis, including possible improvement in cardiac function and avoidance of hemodialysis.