The surgical management of patients who were in a periodic hemodialysis program and were to be subjected to cardiopulmonary bypass is complex and requires special care.1, 2 We have managed 2 patients in the final stages of chronic renal failure who had to undergo surgical correction of cardiac disease. In both cases there had been previous cardiac surgery. The peculiar problems presented by these patients are discussed, as well as the surgical procedure used to prevent potential complications.
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