Kombinacija opšte anestezije i visoke torakalne epiduralne analgezije u revaskularizaciji miokarda na kucajućem srcu u bolesnika na hemodijalizi

Terminal renal failure is often associated with severe coronary artery desease that should be treated with surgical myocardial revascularization. Since perioperative morbidity and mortality rates in these patients are high, the best way and the time for surgical intervention are still uncertain. We present the patient with end-stage renal disease, on chronic program of hemodyalisis, who had underwent off-pump coronary artery bypass grafting and high thoracic epidural anaesthesia, followed by early extubation. To our knowledge, off-pump surgical myocardial revascularization in patients on hemodyalisis using this anaesthetic technique has not yet been presented in our literature.